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General NPI Number Information
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NPI Number | 1720104821
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Entity Type | Organization
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Legal Business Name | EPILEPSY FOUNDATION CENTRAL & SOUTH TEXAS
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 904 CORPUS CHRISTI ST
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City | LAREDO
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State | TX
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Zip | 78040-5277
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Country | US
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Telephone | 210-653-5353
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Fax | 210-653-5355
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Provider Business Mailing Address
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Address Line | 10615 PERRIN BEITEL RD STE 602
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City | SAN ANTONIO
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State | TX
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Zip | 78217-3142
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Country | US
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Telephone | 210-653-5353
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Fax | 210-653-5355
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SINDI J. ROSALES
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Credential |
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Telephone | 210-653-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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