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General NPI Number Information
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NPI Number | 1689905309
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Entity Type | Organization
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Legal Business Name | KNAPP MEDICAL GROUP
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 1401 E 8TH ST
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City | WESLACO
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State | TX
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Zip | 78596-6640
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Country | US
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Telephone | 956-969-5237
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Fax | 956-968-6290
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Provider Business Mailing Address
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Address Line | 1401 E. EIGHTH STREET
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City | WESLACO
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State | TX
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Zip | 78596
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Country | US
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Telephone | 956-969-5237
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Fax | 956-968-6290
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Authorized Official
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Title or Position | CFO
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Name | LESTER SURROCK
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Credential |
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Telephone | 210-564-4760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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