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General NPI Number Information
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NPI Number | 1811652951
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Entity Type | Individual
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Provider Name | RAMON R CASIAS III
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Gender | Male
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 06/05/2022
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Provider Practice Location Address
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Address Line | 7006 ALSBROOK DR
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City | SAN ANTONIO
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State | TX
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Zip | 78223-3311
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Country | US
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Telephone | 210-420-5550
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 23058
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City | SAN ANTONIO
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State | TX
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Zip | 78223-3311
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Country | US
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Telephone | 210-420-5550
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Fax |
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0563473
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 0563473
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License Number State | TX
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