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General NPI Number Information
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NPI Number | 1467720250
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Entity Type | Organization
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Legal Business Name | ALAMO INTERNAL MEDICINE ASSOCIATES
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 4402 VANCE JACKSON RD SUITE 248
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5336
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Country | US
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Telephone | 210-344-9988
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Fax | 210-344-0651
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Provider Business Mailing Address
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Address Line | 4402 VANCE JACKSON RD SUITE 248
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5336
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Country | US
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Telephone | 210-344-9988
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Fax | 210-344-0651
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JESUS ANGEL VALDES
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Credential | M.D.
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Telephone | 210-344-9988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G7363
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License Number State | TX
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