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General NPI Number Information
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NPI Number | 1346938214
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Entity Type | Organization
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Legal Business Name | DOVE POINTE ASC LLC
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 5520 N C ST
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City | MCALLEN
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State | TX
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Zip | 78504-2222
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Country | US
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Telephone | 956-990-8019
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Fax |
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Provider Business Mailing Address
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Address Line | 400 E DOVE AVE
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City | MCALLEN
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State | TX
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Zip | 78504-2240
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Country | US
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Telephone | 956-331-8928
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Fax | 956-322-3067
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANK ROBERT GLATZ III
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Credential | MD
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Telephone | 956-990-8019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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