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General NPI Number Information
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NPI Number | 1578897203
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Entity Type | Organization
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Legal Business Name | ANA T SAUCEDA MD PLLC
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 2829 BABCOCK RD STE 636
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6014
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Country | US
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Telephone | 210-615-8460
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Fax | 210-615-0406
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Provider Business Mailing Address
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Address Line | 2829 BABCOCK RD STE 636
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6014
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Country | US
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Telephone | 210-615-8460
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Fax | 210-615-0406
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | ANA TREVINO SAUCEDA
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Credential | M.D.
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Telephone | 210-615-8460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | M2077
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License Number State | TX
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