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General NPI Number Information
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NPI Number | 1417192519
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Entity Type | Organization
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Legal Business Name | SETON FAMILY OF HOSPITALS
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 05/07/2012
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Provider Practice Location Address
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Address Line | 130 HAYS ST
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City | LULING
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State | TX
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Zip | 78648-3207
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Country | US
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Telephone | 830-875-7000
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Fax | 830-875-7064
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Provider Business Mailing Address
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Address Line | PO BOX 33034
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City | SAN ANTONIO
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State | TX
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Zip | 78265-3034
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Country | US
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Telephone | 830-875-7000
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Fax | 830-875-7064
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. JESUS GARZA
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Credential |
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Telephone | 512-324-1981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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