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General NPI Number Information
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NPI Number | 1700207321
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Entity Type | Organization
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Legal Business Name | HUEBNER PEDIATRICS
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Dates
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Enumeration Date | 12/27/2013
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Last Update Date | 12/27/2013
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Provider Practice Location Address
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Address Line | 15714 HUEBNER RD BLDG 3
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City | SAN ANTONIO
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State | TX
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Zip | 78248-0997
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Country | US
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Telephone | 210-447-3000
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Fax | 210-447-3000
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Provider Business Mailing Address
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Address Line | 15714 HUEBNER RD BLDG 3
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City | SAN ANTONIO
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State | TX
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Zip | 78248-0997
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Country | US
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Telephone | 210-447-3000
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Fax | 210-447-3000
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADELNERY GONZALEZ
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Credential | M.D.
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Telephone | 210-447-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K1452
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | M0579
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License Number State | TX
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