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General NPI Number Information
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NPI Number | 1386848968
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Entity Type | Individual
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Provider Name | ALFONSO ENRIQUEZ PEREZ DO
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Gender | Male
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 7330 SAN PEDRO AVE STE 540
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City | SAN ANTONIO
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State | TX
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Zip | 78216-6250
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Country | US
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Telephone | 210-344-7287
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Fax |
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Provider Business Mailing Address
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Address Line | 7585 KITTY HAWK STE 201
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City | CONVERSE
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State | TX
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Zip | 78109-2820
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Country | US
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Telephone | 104-682-3332
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Fax | 210-667-4044
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | N0361
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N0361
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License Number State | TX
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