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General NPI Number Information
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NPI Number | 1487690038
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO INDEPENDENT SCHOOL DISTRICT
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6526 ROBIN FOREST
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City | SAN ANTONIO
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State | TX
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Zip | 78239-3220
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Country | US
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Telephone | 210-653-4672
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Fax |
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Provider Business Mailing Address
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Address Line | 6526 ROBIN FRST
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City | SAN ANTONIO
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State | TX
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Zip | 78239-3220
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Country | US
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Telephone | 210-653-4672
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Fax |
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Authorized Official
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Title or Position | PHYSICAL ED. ASSISTANT COACH
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Name | MISS MICHELLE R VICTORIA
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Credential | RKT
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Telephone | 210-653-4672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 1714
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License Number State | IL
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