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General NPI Number Information
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NPI Number | 1477742815
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Entity Type | Organization
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Legal Business Name | THE PODIATRY GROUP OF SOUTH TEXAS, PA
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 04/24/2009
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Provider Practice Location Address
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Address Line | 2115 PLEASANTON RD SUITE 204
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City | SAN ANTONIO
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State | TX
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Zip | 78221-1321
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Country | US
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Telephone | 210-924-4999
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Fax | 210-927-3352
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Provider Business Mailing Address
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Address Line | 45 NE LOOP 410 SUITE 920
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City | SAN ANTONIO
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State | TX
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Zip | 78216-5832
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Country | US
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Telephone | 210-227-8700
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Fax | 210-348-9130
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Authorized Official
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Title or Position | OPERATIONS OFFICEF
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Name | KAREN S WARMINSKY
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Credential |
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Telephone | 210-227-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1319
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License Number State | TX
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