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General NPI Number Information
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NPI Number | 1346285004
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Entity Type | Organization
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Legal Business Name | KMB FAMILY MEDICINE, P.A.
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12414 NACOGDOCHES RD SUITE 204
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City | SAN ANTONIO
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State | TX
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Zip | 78217-2128
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Country | US
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Telephone | 210-653-2300
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Fax | 210-653-2304
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Provider Business Mailing Address
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Address Line | PO BOX 700428
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City | SAN ANTONIO
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State | TX
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Zip | 78270-0428
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Country | US
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Telephone | 210-653-2300
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Fax | 210-653-2304
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ALYKHYM B. ZARZUELA
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Credential | D.O.
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Telephone | 210-653-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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