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General NPI Number Information
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NPI Number | 1033256870
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS OPHTHALMOLOGY & ASSOCIATES
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 102 PALO ALTO RD SUITE 450
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City | SAN ANTONIO
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State | TX
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Zip | 78211-3758
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Country | US
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Telephone | 210-922-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 102 PALO ALTO RD SUITE 450
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City | SAN ANTONIO
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State | TX
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Zip | 78211-3758
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Country | US
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Telephone | 210-922-0555
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD AARON RODRIGUEZ
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Credential | M.D.
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Telephone | 210-922-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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