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General NPI Number Information
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NPI Number | 1023462223
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Entity Type | Organization
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Legal Business Name | SAIL HEALTHCARE LLC
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 121 INTERPARK BLVD STE 308
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City | SAN ANTONIO
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State | TX
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Zip | 78216-1852
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Country | US
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Telephone | 210-201-7245
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Fax | 210-202-4102
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Provider Business Mailing Address
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Address Line | 4204 GARDENDALE ST STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3138
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Country | US
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Telephone | 210-201-7245
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MATTHEW FORD
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Credential |
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Telephone | 210-201-7245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WV0202X
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Taxonomy Name | Vehicle Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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