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General NPI Number Information
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NPI Number | 1942416631
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Entity Type | Organization
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Legal Business Name | AMC PRESIDIO CLINIC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 03/26/2009
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Provider Practice Location Address
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Address Line | 501 E O'RIELLY ST
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City | PRESIDIO
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State | TX
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Zip | 79845
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Country | US
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Telephone | 432-229-4246
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Fax | 432-229-4249
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Provider Business Mailing Address
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Address Line | 501 E O'RIELLY ST
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City | PRESIDIO
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State | TX
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Zip | 79845
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Country | US
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Telephone | 432-229-4246
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Fax | 432-229-4249
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Authorized Official
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Title or Position | OWNER
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Name | DAVID W SANCHEZ
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Credential | M.D.
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Telephone | 432-837-5505
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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 | J1567
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License Number State | TX
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