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General NPI Number Information
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NPI Number | 1861497448
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Entity Type | Organization
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Legal Business Name | UVALDE FAMILY PRACTICE ASSOC.
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 1800 GARNER FIELD RD
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City | UVALDE
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State | TX
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Zip | 78801-6210
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Country | US
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Telephone | 830-278-4453
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Fax | 830-278-3427
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Provider Business Mailing Address
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Address Line | 1800 GARNER FIELD RD
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City | UVALDE
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State | TX
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Zip | 78801-6210
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Country | US
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Telephone | 830-278-4453
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Fax | 830-278-3427
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ELMA SANCHEZ
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Credential |
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Telephone | 830-278-4453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 45D0506268
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0376
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G6787
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License Number State | TX
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