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General NPI Number Information
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NPI Number | 1962967240
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS CLINICAL LABORATORY LTD
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 427 DURANTA AVE STE 101 A
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City | ALAMO
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State | TX
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Zip | 78516
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Country | US
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Telephone | 361-516-1601
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1162
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City | KINGSVILLE
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State | TX
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Zip | 78364-1162
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Country | US
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Telephone | 361-516-1601
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW P. SANDERS
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Credential |
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Telephone | 361-516-1601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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