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General NPI Number Information
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NPI Number | 1538304043
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 7979 WURZBACH RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4427
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Country | US
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Telephone | 210-450-5782
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Fax | 210-949-5054
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Provider Business Mailing Address
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Address Line | 6126 WURZBACH RD
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City | SAN ANTONIO
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State | TX
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Zip | 78238-1743
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Country | US
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Telephone | 210-257-1500
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Fax | 210-527-1421
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Authorized Official
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Title or Position | VP & CFO BUS AFFAIRS
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Name | MS. ANDREA MARKS
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Credential | MBA, CPA
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Telephone | 210-567-7020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 45D0898964
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License Number State | TX
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