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General NPI Number Information
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NPI Number | 1689297186
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Entity Type | Individual
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Provider Name | MARGARITA VIDAL
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Gender | Female
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | SAN ANTONIO MILITARY MEDICAL CENTER 3551 ROGER BROOKE DR.
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City | SAN ANTONIO
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State | TX
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Zip | 78234
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Country | US
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Telephone | 210-359-6150
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Fax |
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Provider Business Mailing Address
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Address Line | MILITARY MEDICAL CENTER 3551 ROGER BROOKE DRI
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City | SAN ANTONIO
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State | TX
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Zip | 78218-3122
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Country | US
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Telephone | 714-360-3451
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C015147
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License Number State | NC
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