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General NPI Number Information
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NPI Number | 1073868881
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Entity Type | Individual
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Provider Name | EFRAIN ESTEVEZ LOPEZ
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Gender | Male
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 85 NE LOOP 410 STE 130
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City | SAN ANTONIO
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State | TX
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Zip | 78216-5862
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Country | US
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Telephone | 210-298-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 11245 SIR WINSTON ST APT 308
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2459
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Country | US
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Telephone | 210-577-1164
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 29108765
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License Number State | TX
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