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General NPI Number Information
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NPI Number | 1053578021
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Entity Type | Organization
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Legal Business Name | SUNWEST BEHAVIORAL ASSOCIATES PA
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 6028 SURETY DR
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City | EL PASO
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State | TX
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Zip | 79905-2018
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Country | US
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Telephone | 915-544-3500
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Fax | 915-532-4433
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Provider Business Mailing Address
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Address Line | 6028 SURETY DR
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City | EL PASO
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State | TX
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Zip | 79905-2018
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Country | US
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Telephone | 915-544-3500
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Fax | 915-532-4433
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Authorized Official
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Title or Position | INT. CEO
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Name | LAURA A RAMOS
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Credential |
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Telephone | 915-544-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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