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General NPI Number Information
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NPI Number | 1861683377
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Entity Type | Organization
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Legal Business Name | DR PAUL MORTON PA
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 7711 LOUIS PASTEUR STE 503
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3419
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Country | US
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Telephone | 210-614-1098
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Fax | 210-616-0533
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Provider Business Mailing Address
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Address Line | 7711 LOUIS PASTEUR STE 503
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3419
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Country | US
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Telephone | 210-614-1098
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Fax | 210-616-0533
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. DELMA BOCANEGRA
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Credential |
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Telephone | 210-614-1098
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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 |
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License Number State | TX
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