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General NPI Number Information
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NPI Number | 1750833117
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO VOICE AND ENT INSTITUTE, PLLC
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Dates
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Enumeration Date | 11/01/2016
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 1777 NE LOOP 410 SUITE 600
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5209
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Country | US
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Telephone | 210-820-2646
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Fax |
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Provider Business Mailing Address
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Address Line | 1777 NE LOOP 410 SUITE 600
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5209
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Country | US
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Telephone | 210-820-2646
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AAYESHA MUMTAZ KAHN
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Credential | MD
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Telephone | 314-898-8368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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