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General NPI Number Information
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NPI Number | 1912393901
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Entity Type | Individual
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Provider Name | ANTOINE ADDOUMIEH MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 5126 W LOOP 1604 N # 407
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4408
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Country | US
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Telephone | 210-281-9800
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Fax | 210-281-1001
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Provider Business Mailing Address
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Address Line | 5126 W LOOP 1604 N # 407
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4408
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Country | US
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Telephone | 210-281-9800
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Fax | 210-281-1001
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | T0686
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T0686
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | T0686
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License Number State | TX
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