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General NPI Number Information
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NPI Number | 1699717587
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Entity Type | Individual
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Provider Name | STEPHEN C DRUKKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 2829 BABCOCK RD 700
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6028
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Country | US
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Telephone | 210-593-1410
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Fax | 210-615-1634
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Provider Business Mailing Address
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Address Line | 400 CONCORD PLAZA DR STE 300
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City | SAN ANTONIO
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State | TX
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Zip | 78216-6991
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Country | US
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Telephone | 210-804-5416
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Fax | 210-678-4142
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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 | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | H0312
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License Number State | TX
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