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General NPI Number Information
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NPI Number | 1508946872
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Entity Type | Individual
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Provider Name | ILDIKO AGOSTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 8300 FLOYD CURL DR 3RD FL - 3B
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3931
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Country | US
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Telephone | 210-450-4888
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Fax | 210-450-6018
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Provider Business Mailing Address
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Address Line | 903 W MARTIN ST # MS 49-2
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City | SAN ANTONIO
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State | TX
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Zip | 78207-0903
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Country | US
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Telephone | 201-358-5909
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Fax | 210-358-5940
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | L2779
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License Number State | TX
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