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General NPI Number Information
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NPI Number | 1649674953
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Entity Type | Organization
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Legal Business Name | OSCAR IZNAOLA M.D,, PA
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 07/02/2015
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Provider Practice Location Address
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Address Line | 100 W HUNTINGTON ST
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City | BEEVILLE
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State | TX
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Zip | 78102-3324
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Country | US
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Telephone | 361-239-2851
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Fax | 361-239-2861
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Provider Business Mailing Address
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Address Line | 1141 N LOOP 1604 E # 105-434
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1339
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Country | US
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Telephone | 361-239-2851
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Fax | 361-239-2861
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Authorized Official
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Title or Position | OWNER
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Name | OSCAR ALBERTO IZNAOLO-ESQUIVEL
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Credential | M.D.
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Telephone | 361-239-2851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | N2126
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License Number State | TX
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