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General NPI Number Information
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NPI Number | 1760637060
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Entity Type | Organization
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Legal Business Name | LETICIA A. CERDA, MD, PA
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 01/05/2009
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Provider Practice Location Address
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Address Line | 1202 W BITTERS RD BLDG 4
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City | SAN ANTONIO
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State | TX
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Zip | 78216-7852
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Country | US
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Telephone | 210-599-8300
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Fax | 210-599-8853
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Provider Business Mailing Address
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Address Line | 1202 W BITTERS RD BLDG 4
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City | SAN ANTONIO
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State | TX
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Zip | 78216-7852
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Country | US
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Telephone | 210-599-8300
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Fax | 210-599-8853
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CELESTE CATHERINE JUAREZ
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Credential |
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Telephone | 210-492-9144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K1347
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License Number State | TX
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