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General NPI Number Information
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NPI Number | 1164330056
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Entity Type | Organization
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Legal Business Name | FAST GROUP OF SAN ANTONIO LLC
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 7811 LIBERTY IS
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City | SAN ANTONIO
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State | TX
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Zip | 78227-4714
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Country | US
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Telephone | 210-725-1688
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Fax |
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Provider Business Mailing Address
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Address Line | 7811 LIBERTY IS
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City | SAN ANTONIO
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State | TX
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Zip | 78227-4714
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Country | US
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Telephone | 210-725-1688
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Fax |
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Authorized Official
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Title or Position | SURGICAL FRIST ASST
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Name | MR. LUIS ALBERTO ESQUIOVEL
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Credential | CSFA
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Telephone | 210-725-1688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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