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General NPI Number Information
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NPI Number | 1780617381
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO PROSTHETICS CORPORATION
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 7400 LOUIS PASTEUR DR STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4510
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Country | US
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Telephone | 210-616-0761
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Fax | 210-616-0157
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Provider Business Mailing Address
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Address Line | 7400 LOUIS PASTEUR DR STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4510
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Country | US
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Telephone | 210-616-0761
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Fax | 210-616-0157
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. FRANK DANIEL MARTINEZ
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Credential | LO/CO
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Telephone | 210-616-0761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | LPO 101
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | LPO 101
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License Number State | TX
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