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General NPI Number Information
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NPI Number | 1780629220
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Entity Type | Organization
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Legal Business Name | WOMEN'S CLINIC OF DIMMIT & ZAVALA,P.A.
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 706 HOSPITAL DRIVE
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City | CARRIZO SPRINGS
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State | TX
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Zip | 78834-3836
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Country | US
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Telephone | 830-876-9625
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Fax | 830-876-5752
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Provider Business Mailing Address
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Address Line | 706 HOSPITAL DRIVE
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City | CARRIZO SPRINGS
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State | TX
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Zip | 78834-3836
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Country | US
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Telephone | 830-876-9625
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Fax | 830-876-5752
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. MICHEAL ANTHONY BUTLER
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Credential | MD
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Telephone | 830-876-9625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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