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General NPI Number Information
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NPI Number | 1952301798
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Entity Type | Organization
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Legal Business Name | SPECIALTY1PARTNERS
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1130 E SONTERRA BLVD SUITE 140
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4235
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Country | US
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Telephone | 210-497-6699
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Fax | 210-490-7699
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Provider Business Mailing Address
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Address Line | 1130 E SONTERRA BLVD SUITE 140
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4235
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Country | US
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Telephone | 210-405-0473
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Fax | 210-490-7699
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | AIMEE MORALES
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Credential |
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Telephone | 210-497-6999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State | TX
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