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General NPI Number Information
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NPI Number | 1114203437
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Entity Type | Organization
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Legal Business Name | RFBF PEDIATRIC URGENT CARE PA
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 1207 N LOOP 1604 W SUITE 115
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4629
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Country | US
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Telephone | 210-479-3474
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Fax | 210-479-3477
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Provider Business Mailing Address
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Address Line | 1207 N LOOP 1604 W SUITE 115
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4628
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Country | US
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Telephone | 210-479-3474
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Fax | 210-479-3477
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATSY RODRIGUEZ
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Credential | MD
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Telephone | 21028458980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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