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General NPI Number Information
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NPI Number | 1245281492
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Entity Type | Individual
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Provider Name | DEANE S CHARBA MD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 614 FURMAN AVE
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-2325
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Country | US
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Telephone | 361-882-9278
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Fax |
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Provider Business Mailing Address
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Address Line | 13409 GEORGE RD
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City | SAN ANTONIO
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State | TX
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Zip | 78230-3064
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Country | US
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Telephone | 210-492-8922
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Fax | 210-479-2010
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 036114401
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | K6961
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License Number State | TX
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