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General NPI Number Information
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NPI Number | 1730422098
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 4383 MEDICAL DR. SUITE 113
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3307
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Country | US
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Telephone | 210-593-2660
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Fax | 210-593-2665
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Provider Business Mailing Address
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Address Line | 4383 MEDICAL DR. SUITE 113
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3307
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Country | US
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Telephone | 210-593-2660
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Fax | 210-593-2665
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LON S. SMITH
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Credential | M.D.
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Telephone | 210-593-5773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28500
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License Number State | TX
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