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General NPI Number Information
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NPI Number | 1205821345
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS HEALTH CARE SYSTEM
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1401 S RANGERVILLE RD OPC PHARMACY - BLDG 504
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City | HARLINGEN
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State | TX
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Zip | 78552-7638
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Country | US
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Telephone | 956-364-8741
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Fax | 956-425-2692
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Provider Business Mailing Address
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Address Line | 1401 S RANGERVILLE RD
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City | HARLINGEN
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State | TX
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Zip | 78552-7638
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Country | US
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Telephone | 956-364-8741
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Fax | 956-425-2692
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MRS. SONIA HERNANDEZ-KEEBLE
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Credential |
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Telephone | 956-364-8401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 019599
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License Number State | TX
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