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General NPI Number Information
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NPI Number | 1538043963
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Entity Type | Organization
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Legal Business Name | M&A MEDICAL LLC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 982925 TUITASI FARM ROAD MALAELOA-AITULAGI
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City | PAGO PAGO
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State | AS
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Zip | 96799
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Country | US
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Telephone | 210-710-6795
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Fax |
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Provider Business Mailing Address
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Address Line | 678 ROSEWOOD AVE
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City | BOERNE
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State | TX
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Zip | 78006-2132
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Country | US
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Telephone | 210-710-6795
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN MCCALL
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Credential |
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Telephone | 210-710-6795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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