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General NPI Number Information
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NPI Number | 1679037089
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Entity Type | Organization
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Legal Business Name | S&C HEALTHCARE, PLLC
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 11212 TX-151
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City | SAN ANTONIO
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State | TX
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Zip | 78251
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Country | US
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Telephone | 830-542-8566
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Fax | 210-802-2620
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Provider Business Mailing Address
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Address Line | PO BOX 780188
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City | SAN ANTONIO
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State | TX
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Zip | 78278-0188
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Country | US
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Telephone | 830-542-8566
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Fax | 210-802-2620
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Authorized Official
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Title or Position | PRESIDENT
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Name | VASUDEVA RANJIT MUDIPALLI
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Credential | MD
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Telephone | 830-542-8566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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