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General NPI Number Information
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NPI Number | 1972823581
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Entity Type | Individual
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Provider Name | ROLANDO ERASMO RIOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 11212 STATE HIGHWAY 151 EMERGENCY DEPARTMENT
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4498
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Country | US
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Telephone | 210-703-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 11212 STATE HIGHWAY 151 EMERGENCY DEPARTMENT
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4498
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101252097
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01071675A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MT200728
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD453134
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | R0489
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License Number State | TX
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