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General NPI Number Information
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NPI Number | 1922453505
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Entity Type | Organization
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Legal Business Name | CHRISTUS SPOHN FAMILY HEALTH CENTER FREER
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 10002 ROGERS RUN
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4403
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Country | US
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Telephone | 210-703-0333
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Fax | 210-703-0141
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Provider Business Mailing Address
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Address Line | 10002 ROGERS RUN
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4403
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Country | US
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Telephone | 210-703-0333
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Fax | 210-703-0141
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Authorized Official
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Title or Position | MGR IM REGIONAL OPS
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Name | MR. RANDY SANDIFER
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Credential |
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Telephone | 361-881-3830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | TX
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