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General NPI Number Information
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NPI Number | 1821286600
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Entity Type | Organization
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Legal Business Name | VALLEY CLINIC INC
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 9102 FLOYD CURL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1553
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Country | US
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Telephone | 210-308-5933
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Fax | 210-809-6267
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Provider Business Mailing Address
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Address Line | 9102 FLOYD CURL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1553
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Country | US
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Telephone | 210-308-5933
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Fax | 210-809-6267
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Authorized Official
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Title or Position | DOCTOR
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Name | GERARDO VAZQUEZ
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Credential | MD
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Telephone | 210-308-5933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | TX
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