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General NPI Number Information
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NPI Number | 1518171693
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Entity Type | Organization
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Legal Business Name | ALPINE MEDICAL CENTER PLLC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 202 N 2ND ST
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City | ALPINE
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State | TX
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Zip | 79830-4704
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Country | US
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Telephone | 432-837-5505
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Fax | 432-837-9118
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Provider Business Mailing Address
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Address Line | 202 N 2ND ST
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City | ALPINE
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State | TX
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Zip | 79830-4704
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Country | US
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Telephone | 432-837-5505
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Fax | 432-837-9118
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID W SANCHEZ
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Credential | M.D.
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Telephone | 432-837-5505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J1567
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | J1567
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | J1567
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License Number State | TX
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