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General NPI Number Information
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NPI Number | 1558541581
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Entity Type | Organization
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Legal Business Name | ERIC D. DELGADO, O.D., PA
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 14016 NACOGDOCHES RD
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City | SAN ANTONIO
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State | TX
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Zip | 78247-1929
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Country | US
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Telephone | 210-655-9620
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Fax | 210-657-3633
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Provider Business Mailing Address
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Address Line | 14016 NACOGDOCHES RD
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City | SAN ANTONIO
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State | TX
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Zip | 78247-1929
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Country | US
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Telephone | 210-655-9620
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Fax | 210-657-3633
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Authorized Official
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Title or Position | OWNER
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Name | MR. ERIC D. DELGADO
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Credential | O.D.
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Telephone | 210-655-9620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4251TG
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License Number State | TX
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