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General NPI Number Information
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NPI Number | 1285703751
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Entity Type | Organization
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Legal Business Name | THE MEDICAL TEAM DIABETES EDUCATION CENTER
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1222 N MAIN AVE SUITE 600
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City | SAN ANTONIO
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State | TX
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Zip | 78212-5712
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Country | US
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Telephone | 210-227-9000
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Fax | 210-224-2020
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Provider Business Mailing Address
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Address Line | 1222 N MAIN AVE SUITE 600
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City | SAN ANTONIO
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State | TX
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Zip | 78212-5712
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Country | US
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Telephone | 210-227-9000
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Fax | 210-224-2020
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Authorized Official
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Title or Position | DIRECTOR OF MARKET DEVELOPMENT
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Name | MS. BARBARA SINGLETON
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Credential | RN, BSN
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Telephone | 210-227-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 005283
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License Number State | TX
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