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General NPI Number Information
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NPI Number | 1457350993
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Entity Type | Organization
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Legal Business Name | VHS SAN ANTONIO IMAGING PARTNERS, LP
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 215 E QUINCY STREET SUITE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78215-2032
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Country | US
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Telephone | 210-351-0784
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Fax | 210-351-0720
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Provider Business Mailing Address
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Address Line | 16977 IH 35 N STE 220
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City | SCHERTZ
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State | TX
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Zip | 78154-1472
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Country | US
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Telephone | 210-351-0784
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Fax | 210-351-0721
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Authorized Official
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Title or Position | OFFICER/AUTHORIZED OFFICIAL
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Name | VICKIE DEAR
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Credential |
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Telephone | 210-681-6474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging 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 | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L04506
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License Number State | TX
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