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General NPI Number Information
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NPI Number | 1841208832
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Entity Type | Organization
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Legal Business Name | ALAMO ENT ASSOCIATES
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7840 FLOYD CUEL SUITE 400
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City | SAN ANTONIO
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State | TX
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Zip | 78229
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Country | US
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Telephone | 210-616-0096
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Fax | 210-614-1003
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Provider Business Mailing Address
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Address Line | PO BOX 2679
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City | SAN ANTONIO
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State | TX
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Zip | 78299-2679
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Country | US
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Telephone | 210-616-0096
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Fax | 210-614-1003
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM W GORDON
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Credential | MD
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Telephone | 210-616-0096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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