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General NPI Number Information
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NPI Number | 1376980979
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Entity Type | Organization
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Legal Business Name | JOHN DICKSON, MD, PA
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Dates
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Enumeration Date | 05/23/2013
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Last Update Date | 05/23/2013
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Provider Practice Location Address
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Address Line | 325 E SONTERRA BLVD STE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4054
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Country | US
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Telephone | 210-402-3069
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Fax | 210-424-0631
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Provider Business Mailing Address
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Address Line | PO BOX 65071
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City | SAN ANTONIO
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State | TX
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Zip | 78265-5071
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Country | US
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Telephone | 210-402-3069
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Fax | 210-424-0631
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN DICKSON
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Credential | MD
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Telephone | 210-402-3069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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