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General NPI Number Information
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NPI Number | 1649464728
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Entity Type | Organization
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Legal Business Name | ALPHA PEDIATRICS, PA
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 502 MADISON OAK SUITE 245
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4084
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Country | US
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Telephone | 210-404-2532
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Fax | 210-404-2539
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Provider Business Mailing Address
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Address Line | 502 MADISON OAK SUITE 245
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4084
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Country | US
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Telephone | 210-404-2532
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Fax | 210-404-2539
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Authorized Official
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Title or Position | OWNER
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Name | EMAD Y. KALDAS
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Credential | M.D.
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Telephone | 210-643-7723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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