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General NPI Number Information
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NPI Number | 1033191127
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Entity Type | Organization
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Legal Business Name | EMPIRE SPANISH MEADOWS LTD
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 440 RUBEN M TORRES BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-9102
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Country | US
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Telephone | 195-654-6737
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Fax | 195-654-6856
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Provider Business Mailing Address
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Address Line | 25009 OAKHURST DR
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City | SPRING
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State | TX
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Zip | 77386-1975
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Country | US
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Telephone | 281-465-0636
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Fax | 812-465-0748
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | RAMIRO LOZANO
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Credential |
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Telephone | 956-546-7378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 455802
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License Number State | TX
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