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General NPI Number Information
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NPI Number | 1932436227
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Entity Type | Organization
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Legal Business Name | SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 21 SPURS LN STE 340
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1680
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Country | US
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Telephone | 210-798-8585
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Fax | 210-798-8580
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Provider Business Mailing Address
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Address Line | 21 SPURS LN STE 340
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1680
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Country | US
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Telephone | 210-798-8585
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Fax | 210-798-8580
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Authorized Official
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Title or Position | ADMISITRATOR
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Name | WANDA BATCH
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Credential |
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Telephone | 210-699-8329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1169387
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License Number State | TX
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