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General NPI Number Information
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NPI Number | 1457513772
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Entity Type | Organization
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Legal Business Name | GUADALUPE VALLEY MEDICAL CENTER, LP
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 1375 E WALNUT ST STE 400
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City | SEGUIN
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State | TX
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Zip | 78155-5145
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Country | US
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Telephone | 830-401-4083
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Fax | 830-401-4915
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Provider Business Mailing Address
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Address Line | 1375 E WALNUT ST STE 400
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City | SEGUIN
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State | TX
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Zip | 78155-5145
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Country | US
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Telephone | 830-401-4083
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Fax | 830-401-4915
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | ARLENE N GAULDEN
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Credential |
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Telephone | 325-647-4397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | TX
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