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NPI 1881377836

NPI 1881377836 : CAI PRIMARY CARE PLLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1881377836
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAI PRIMARY CARE PLLC 
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Dates
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    Enumeration Date     |    08/08/2023
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    Last Update Date     |    08/08/2023
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Provider Practice Location Address
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    Address Line         |    902 HAGEN WAY 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78221-4458
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    Country              |    US
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    Telephone            |    210-577-8494
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    902 HAGEN WAY 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78221-4458
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    Country              |    US
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    Telephone            |    210-577-8494
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JEREMIAS  RAMOS 
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    Credential           |    APRN, FCP-C
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    Telephone            |    210-577-8494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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