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General NPI Number Information
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NPI Number | 1396704805
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Entity Type | Organization
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Legal Business Name | RIVERHILL OPHTHALMOLOGY, P.A.
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 601 CLAY ST
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City | KERRVILLE
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State | TX
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Zip | 78028-4527
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Country | US
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Telephone | 830-792-5059
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Fax | 830-792-5062
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Provider Business Mailing Address
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Address Line | 317 SIDNEY BAKER ST S STE 400 PMB 112
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City | KERRVILLE
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State | TX
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Zip | 78028-5948
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Country | US
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Telephone | 830-792-5059
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Fax | 830-792-5062
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Authorized Official
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Title or Position | CONSULTANT
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Name | NANCY ALVAREZ CHEDZOY
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Credential | M.D.
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Telephone | 830-792-5059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | L6258
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License Number State | TX
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