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General NPI Number Information
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NPI Number | 1932437506
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Entity Type | Organization
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Legal Business Name | SABC PLLC
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 7272 WURZBACH RD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78240-4802
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Country | US
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Telephone | 210-593-0462
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Fax | 210-593-0410
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Provider Business Mailing Address
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Address Line | 7272 WURZBACH RD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78240-4802
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Country | US
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Telephone | 210-593-0462
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Fax | 210-593-0410
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/OWNER/ASSOCIATE M
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Name | MS. ALISA CHRISTINE VOSS
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Credential | LM, CPM
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Telephone | 210-593-0462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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