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General NPI Number Information
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NPI Number | 1447563598
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Entity Type | Organization
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Legal Business Name | HELIODORO V BOONE M.D.P.A
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 07/19/2010
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Provider Practice Location Address
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Address Line | 343 W HOUSTON ST 512
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City | SAN ANTONIO
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State | TX
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Zip | 78205-2107
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Country | US
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Telephone | 210-225-4316
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Fax | 210-226-9914
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Provider Business Mailing Address
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Address Line | 343 W HOUSTON ST 512
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City | SAN ANTONIO
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State | TX
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Zip | 78205-2107
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Country | US
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Telephone | 210-225-4316
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Fax | 210-226-9914
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HELIODORO V BOONE
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Credential | M.D
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Telephone | 210-225-4316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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