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General NPI Number Information
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NPI Number | 1346745767
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Entity Type | Individual
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Provider Name | MR. RICHARD FRITZ NAUERT III
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Gender | Male
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 19138 US HIGHWAY 281 N STE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4988
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Country | US
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Telephone | 210-804-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 17206 SABLE LNDG
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City | SAN ANTONIO
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State | TX
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Zip | 78232-4122
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Country | US
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Telephone | 512-497-5668
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | U9041
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | U9041
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 65995
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License Number State | MN
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