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General NPI Number Information
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NPI Number | 1518596618
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Entity Type | Individual
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Provider Name | THERESA CHRISTINE MACGREGOR
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Gender | Female
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 8300 FLOYD CURL DR FL 5
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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 | 210-450-9500
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Fax | 210-450-6027
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Provider Business Mailing Address
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Address Line | 2410 CEDAR TRCE
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City | SAN ANTONIO
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State | TX
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Zip | 78232-2641
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Country | US
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Telephone | 832-293-0842
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | V3372
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License Number State | TX
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