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General NPI Number Information
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NPI Number | 1144547795
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Entity Type | Individual
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Provider Name | EDITH ZOE LOPEZ-GARCIA BSPHARM
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Gender | Female
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Dates
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Enumeration Date | 04/22/2010
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Last Update Date | 04/22/2010
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Provider Practice Location Address
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Address Line | 1902 N LOOP 1604 W
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City | SAN ANTONIO
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State | TX
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Zip | 78248-4537
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Country | US
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Telephone | 210-492-5095
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Fax | 210-492-5091
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Provider Business Mailing Address
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Address Line | 13121 NW MILITARY HWY APT. 1414
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City | SAN ANTONIO
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State | TX
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Zip | 78231-1873
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Country | US
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Telephone | 210-884-1755
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 44078
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License Number State | TX
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