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General NPI Number Information
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NPI Number | 1477763670
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Entity Type | Organization
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Legal Business Name | VICTOR A ESTRADA MD PA
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 14615 SAN PEDRO # 250
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City | SAN ANTONIO
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State | TX
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Zip | 78232-4316
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Country | US
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Telephone | 210-490-2051
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Fax | 210-490-6758
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Provider Business Mailing Address
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Address Line | 14615 SAN PEDRO # 250
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City | SAN ANTONIO
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State | TX
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Zip | 78232-4316
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Country | US
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Telephone | 210-490-2051
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Fax | 210-490-6758
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Authorized Official
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Title or Position | OWNER-PRESIDENT
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Name | DR. VICTOR A ESTRADA
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Credential | MD
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Telephone | 210-490-2051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G8095
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License Number State | TX
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