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General NPI Number Information
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NPI Number | 1821672130
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Entity Type | Organization
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Legal Business Name | MICHAEL ABLAVSKY MD PA
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 19222 STONEHUE STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3454
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Country | US
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Telephone | 210-942-6672
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Fax | 210-664-3966
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Provider Business Mailing Address
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Address Line | 19141 STONE OAK PKWY STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3367
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Country | US
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Telephone | 210-942-6672
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Fax | 210-664-3966
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARICEL L. RODRIGUEZ
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Credential |
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Telephone | 210-942-6672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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