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General NPI Number Information
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NPI Number | 1053533273
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO ACCIDENT AND REHAB
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1550 NE LOOP 410 SUITE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1610
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Country | US
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Telephone | 210-223-9797
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Fax | 210-223-9733
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Provider Business Mailing Address
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Address Line | 1550 NE LOOP 410 SUITE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1610
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Country | US
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Telephone | 210-223-9797
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Fax | 210-223-9733
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Authorized Official
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Title or Position | PROPRIETOR
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Name | RICHARD ALEXANDER
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Credential | D.C.
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Telephone | 210-223-9797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8088
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License Number State | TX
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