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General NPI Number Information
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NPI Number | 1093048548
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Entity Type | Organization
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Legal Business Name | EL CENTRO DEL BARRIO, INC
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 1034 W COUNTY LINE RD
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-8338
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Country | US
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Telephone | 210-922-7000
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Fax | 210-924-1374
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Provider Business Mailing Address
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Address Line | 3750 COMMERCIAL AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78221-3117
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Country | US
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Telephone | 210-334-3700
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Fax | 210-922-0162
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Authorized Official
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Title or Position | VP/CFO
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Name | CHUCK WALZEL
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Credential |
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Telephone | 210-334-3724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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