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General NPI Number Information
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NPI Number | 1457278558
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Entity Type | Organization
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Legal Business Name | SANP SPECIALTY GROUP CORP.
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 8700 CROWNHILL BLVD STE 206
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1126
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Country | US
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Telephone | 210-272-0106
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Fax | 210-903-8202
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Provider Business Mailing Address
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Address Line | 8700 CROWNHILL BLVD STE 206
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1126
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Country | US
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Telephone | 210-272-0106
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Fax | 210-903-8202
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Authorized Official
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Title or Position | CEO
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Name | CLARICE ADAMS
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Credential | APRN, FNP-C
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Telephone | 210-272-0106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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