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General NPI Number Information
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NPI Number | 1730598269
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Entity Type | Organization
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Legal Business Name | ALAMO CHILDRENS HEART CENTER, PA
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 12414 TOEPPERWEIN RD
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City | LIVE OAK
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State | TX
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Zip | 78233-3230
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Country | US
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Telephone | 210-654-0944
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Fax | 210-568-4819
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Provider Business Mailing Address
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Address Line | 705 LANDA ST SUITE F
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-6172
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Country | US
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Telephone | 210-654-0944
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Fax | 210-568-4819
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Authorized Official
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Title or Position | PEDIATRIC CARDIOLOGY
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Name | DR. JATIN N. PATEL
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Credential | D.O
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Telephone | 210-654-0944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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