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General NPI Number Information
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NPI Number | 1306928304
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Entity Type | Organization
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Legal Business Name | GREGORY D ALES DO PA
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4242 MEDICAL DR STE 6100
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5643
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Country | US
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Telephone | 830-896-2900
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Fax | 830-792-5952
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Provider Business Mailing Address
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Address Line | PO BOX 293879
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City | KERRVILLE
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State | TX
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Zip | 78029-3879
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Country | US
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Telephone | 830-896-2900
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Fax | 830-792-5952
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DENISE R LETARD
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Credential |
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Telephone | 830-896-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | M253
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License Number State | TX
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