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General NPI Number Information
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NPI Number | 1104001171
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Entity Type | Organization
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Legal Business Name | CAREMED HEALTH SERVICES P.A
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 8715 VILLAGE DR SUITE 320
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5405
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Country | US
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Telephone | 210-656-3109
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Fax | 210-656-4469
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Provider Business Mailing Address
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Address Line | PO BOX 17156
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City | SAN ANTONIO
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State | TX
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Zip | 78217-0156
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Country | US
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Telephone | 210-656-3109
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Fax | 210-656-4469
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Authorized Official
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Title or Position | OFFICE SUPERVISOR
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Name | MS. CLAUDINE SHERBERT
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Credential |
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Telephone | 210-656-3109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J6289
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License Number State | TX
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