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General NPI Number Information
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NPI Number | 1891009932
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO MONITORING
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 6338 N NEW BRAUNFELS AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78209-3826
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Country | US
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Telephone | 210-854-9488
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Fax |
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Provider Business Mailing Address
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Address Line | 6338 N NEW BRAUNFELS AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78209-3826
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SCOTT LAROQUE I
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Credential |
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Telephone | 210-854-9488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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