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General NPI Number Information
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NPI Number | 1679754915
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Entity Type | Organization
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Legal Business Name | PERRIN BEITEL MEDICAL CLINIC
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 11312 PERRIN BEITEL RD
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City | SAN ANTONIO
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State | TX
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Zip | 78217-2534
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Country | US
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Telephone | 210-946-5633
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Fax |
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Provider Business Mailing Address
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Address Line | 595 ROUND ROCK WEST DR SUITE 403
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City | ROUND ROCK
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State | TX
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Zip | 78681-5011
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Country | US
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Telephone | 512-346-0271
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Fax | 512-346-7410
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. LINDA L WELCH
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Credential | D.O, P.A
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Telephone | 512-946-5633
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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 | G4011
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License Number State |
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