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General NPI Number Information
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NPI Number | 1831402031
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Entity Type | Organization
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Legal Business Name | ADVANCE PAIN RELILEF
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 1603 BABCOCK RD SUITE 177
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4708
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Country | US
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Telephone | 210-789-2007
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Fax | 210-855-4666
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Provider Business Mailing Address
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Address Line | PO BOX 5130
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City | SAN ANTONIO
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State | TX
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Zip | 78201-0130
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Country | US
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Telephone | 210-789-2007
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Fax | 210-855-4666
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JULIE GARZA
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Credential |
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Telephone | 210-789-2007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | F2816
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License Number State | TX
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