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General NPI Number Information
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NPI Number | 1538201165
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Entity Type | Individual
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Provider Name | ROSE INGALA M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 2810 DACY LANE
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City | KYLE
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State | TX
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Zip | 78640-5904
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Country | US
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Telephone | 512-268-8900
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Fax | 512-268-2250
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Provider Business Mailing Address
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Address Line | 3066 E COMMERCE ST
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City | SAN ANTONIO
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State | TX
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Zip | 78220-1013
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Country | US
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Telephone | 210-233-7000
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Fax | 210-434-1704
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | H5179
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License Number State | TX
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