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General NPI Number Information
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NPI Number | 1912963760
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Entity Type | Individual
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Provider Name | JUAN J SYGAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 13725 NORTHWEST BLVD STE 120
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City | CORPUS CHRISTI
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State | TX
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Zip | 78410-5127
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Country | US
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Telephone | 361-767-8956
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Fax | 361-387-1352
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Provider Business Mailing Address
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Address Line | 8637 FREDERICKSBURG RD SUITE 360
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1219
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Country | US
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Telephone | 210-617-4029
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Fax | 210-617-4075
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K4582
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License Number State | TX
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