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General NPI Number Information
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NPI Number | 1790175230
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Entity Type | Organization
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Legal Business Name | LYSA L CURRY MD PA
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 23519 OSCEOLA BLF
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City | SAN ANTONIO
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State | TX
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Zip | 78261-2625
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Country | US
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Telephone | 210-392-2964
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Fax | 210-651-7321
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Provider Business Mailing Address
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Address Line | PO BOX 29521
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City | SAN ANTONIO
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State | TX
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Zip | 78229-0521
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Country | US
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Telephone | 210-392-2964
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Fax | 210-651-7321
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Authorized Official
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Title or Position | OWNER
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Name | LYSA L CURRY
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Credential | MD
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Telephone | 210-392-2964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J7361
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License Number State | TX
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