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General NPI Number Information
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NPI Number | 1922750470
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Entity Type | Organization
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Legal Business Name | SAN BENITO MEDICAL ASSOCIATES, PLLC
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 100C E ALTON GLOOR BLVD STE 300
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3329
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Country | US
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Telephone | 956-247-7000
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Fax | 956-626-1161
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Provider Business Mailing Address
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Address Line | 351 N SAM HOUSTON BLVD
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City | SAN BENITO
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State | TX
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Zip | 78586-4696
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Country | US
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Telephone | 956-247-7000
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Fax | 956-626-1161
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Authorized Official
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Title or Position | PRESIDENT
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Name | NORMA SCHACHERL
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Credential | DO
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Telephone | 956-247-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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