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General NPI Number Information
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NPI Number | 1306242409
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Entity Type | Organization
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Legal Business Name | RAFAEL PARRA AND ASSOCIATES
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 1303 MCCULLOUGH AVE STE 440
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City | SAN ANTONIO
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State | TX
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Zip | 78212-5609
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Country | US
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Telephone | 210-226-8349
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Fax | 210-227-3918
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Provider Business Mailing Address
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Address Line | 1303 MCCULLOUGH AVE STE 440
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City | SAN ANTONIO
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State | TX
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Zip | 78212-5609
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Country | US
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Telephone | 210-226-8349
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Fax | 210-227-3918
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAFAEL PARRA
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Credential | M.D
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Telephone | 210-226-8349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | E4040
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License Number State | TX
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