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General NPI Number Information
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NPI Number | 1801897640
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Entity Type | Individual
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Provider Name | BRUCE CHARLES BEGIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 124 E BANDERA RD STE 102 WELLMED AT BOERNE
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City | BOERNE
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State | TX
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Zip | 78006
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Country | US
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Telephone | 830-816-2312
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Fax | 830-816-2349
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Provider Business Mailing Address
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Address Line | 124 E BANDERA RD STE 102 WELLMED AT BOERNE
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City | BOERNE
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State | TX
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Zip | 78006
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Country | US
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Telephone | 830-816-2312
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Fax | 830-816-2349
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | J3984
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License Number State | TX
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