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General NPI Number Information
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NPI Number | 1437080678
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Entity Type | Individual
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Provider Name | GILMAR R.B. TATOY
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Gender | Male
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 05/27/2026
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Provider Practice Location Address
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Address Line | 11212 TX-151
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City | SAN ANTONIO
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State | TX
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Zip | 78251
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Country | US
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Telephone | 210-273-7103
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 GALLATIN DR
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City | SAN ANTONIO
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State | TX
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Zip | 78245-1311
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Country | US
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Telephone | 210-998-0067
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Fax |
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 16756377
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License Number State | TX
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