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General NPI Number Information
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NPI Number | 1528239712
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Entity Type | Organization
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Legal Business Name | SANJAY MISRA MD, PA
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 01/20/2010
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Provider Practice Location Address
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Address Line | 315 N. SAN SABA SUITE 1175
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3155
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Country | US
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Telephone | 210-270-9999
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Fax | 210-270-9952
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Provider Business Mailing Address
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Address Line | 315 N. SAN SABA SUITE 1175
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3155
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Country | US
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Telephone | 210-270-9999
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Fax | 210-270-9952
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SANJAY MISRA
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Credential | M.D.
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Telephone | 210-270-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | J2211
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License Number State | TX
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