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General NPI Number Information
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NPI Number | 1841354677
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Entity Type | Organization
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Legal Business Name | DEPARTMENT OF STATE HEALTH SERVICES
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 2303 S.E. MILITARY DR
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City | SAN ANTONIO
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State | TX
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Zip | 78223
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Country | US
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Telephone | 210-531-4533
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Fax | 210-531-4560
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Provider Business Mailing Address
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Address Line | 2303 S.E. MILITARY DR
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City | SAN ANTONIO
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State | TX
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Zip | 78223
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Country | US
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Telephone | 210-531-4533
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Fax | 210-531-4560
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Authorized Official
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Title or Position | ASSOCIATE COMMISSIONER
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Name | DAVID GRUBER
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Credential |
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Telephone | 512-776-6186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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