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General NPI Number Information
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NPI Number | 1275968745
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Entity Type | Organization
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Legal Business Name | PS3A LLC
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 12/28/2016
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Provider Practice Location Address
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Address Line | 7434 LOUIS PASTEUR DR STE 230
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4538
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Country | US
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Telephone | 435-201-2386
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Fax |
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Provider Business Mailing Address
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Address Line | 7434 LOUIS PASTEUR DR 230
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4538
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Country | US
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Telephone | 210-570-8040
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SHAD MORRIS
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Credential | DDS
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Telephone | 210-570-8040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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