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General NPI Number Information
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NPI Number | 1316470131
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Entity Type | Organization
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Legal Business Name | ABMR MEDICAL, PLLC
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Dates
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Enumeration Date | 04/08/2017
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 900 NE LOOP 410
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1410
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Country | US
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Telephone | 210-239-8269
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Fax | 844-898-6214
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Provider Business Mailing Address
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Address Line | 900 NE LOOP 410
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1410
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Country | US
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Telephone | 210-239-8269
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Fax | 844-898-6214
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Authorized Official
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Title or Position | CEO
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Name | CHRISTOPHER C RODRIGUEZ
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Credential | NP
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Telephone | 210-980-0796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AP130890
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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