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General NPI Number Information
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NPI Number | 1811927130
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Entity Type | Organization
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Legal Business Name | SETON HEALTHCARE
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 601 E 15TH ST
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City | AUSTIN
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State | TX
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Zip | 78701-1930
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Country | US
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Telephone | 512-324-8960
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Fax | 512-324-8962
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Provider Business Mailing Address
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Address Line | PO BOX 65118
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City | SAN ANTONIO
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State | TX
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Zip | 78265-5118
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Country | US
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Telephone | 512-324-8960
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Fax | 512-324-8962
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Authorized Official
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Title or Position | CHIEF ORGANIZATION OFFICER
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Name | MR. JIM THOMAS
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Credential |
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Telephone | 512-324-8960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State |
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