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General NPI Number Information
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NPI Number | 1073534152
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Entity Type | Organization
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Legal Business Name | VICTORIA PHYSICIANS SOLUTIONS,LLC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2701 HOSPITAL DR
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City | VICTORIA
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State | TX
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Zip | 77901-5748
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Country | US
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Telephone | 361-576-3680
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Fax | 361-576-4219
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Provider Business Mailing Address
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Address Line | PO BOX 4905
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City | VICTORIA
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State | TX
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Zip | 77903-4905
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Country | US
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Telephone | 361-576-3680
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Fax | 361-576-4219
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Authorized Official
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Title or Position | PARTNER
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Name | JOHN MCNEILL
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Credential | D.O.
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Telephone | 361-582-1115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K5623
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License Number State | TX
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