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General NPI Number Information
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NPI Number | 1992969760
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Entity Type | Organization
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Legal Business Name | JOHN G PREDDY DO
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 04/17/2016
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Provider Practice Location Address
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Address Line | 126 W NOPAL
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City | UVALDE
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State | TX
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Zip | 78801-5210
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Country | US
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Telephone | 830-278-7101
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Fax | 866-935-9737
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Provider Business Mailing Address
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Address Line | 126 W NOPAL
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City | UVALDE
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State | TX
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Zip | 78801-5210
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Country | US
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Telephone | 830-278-7101
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Fax | 866-935-9737
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JOHN G PREDDY
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Credential | DO
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Telephone | 830-278-7101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | J0786
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License Number State | TX
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