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General NPI Number Information
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NPI Number | 1154434579
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Entity Type | Organization
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Legal Business Name | ABDOMINAL SPECIALISTS OF SOUTH TEXAS
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 1301 OCEAN DRIVE
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-2206
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Country | US
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Telephone | 361-884-2858
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Fax | 361-879-9009
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Provider Business Mailing Address
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Address Line | 1301 OCEAN DRIVE
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-2206
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Country | US
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Telephone | 361-884-2858
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Fax | 361-879-9009
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | KAREN CAMPBELL
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Credential |
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Telephone | 361-884-2858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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