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General NPI Number Information
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NPI Number | 1043468937
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Entity Type | Organization
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Legal Business Name | ST. JOHN PARTNERSHIP LTD
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 1983 OAKWELL FARMS PKWY SUITE 704
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City | SAN ANTONIO
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State | TX
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Zip | 78218-1724
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Country | US
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Telephone | 210-563-4546
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Fax |
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Provider Business Mailing Address
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Address Line | 1983 OAKWELL FARMS PKWY SUITE 704
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City | SAN ANTONIO
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State | TX
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Zip | 78218-1724
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Country | US
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Telephone | 210-563-4546
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. ARTHUR MINGUEZ JR.
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Credential | MBA
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Telephone | 210-563-4546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 008276
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License Number State | TX
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