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General NPI Number Information
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NPI Number | 1023384344
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Entity Type | Organization
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Legal Business Name | LATIN AMERICAN MEDICAL CENTER
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 4135 SPENCER HWY
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City | PASADENA
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State | TX
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Zip | 77504-1209
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Country | US
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Telephone | 832-613-7948
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Fax |
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Provider Business Mailing Address
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Address Line | 4135 SPENCER HWY
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City | PASADENA
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State | TX
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Zip | 77504-1209
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL T BETANCOURT
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Credential |
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Telephone | 832-420-8070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | TX
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