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General NPI Number Information
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NPI Number | 1073293262
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Entity Type | Organization
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Legal Business Name | MOBILEMED HOME TEAM PLLC
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Dates
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Enumeration Date | 07/21/2023
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 1201 E SCHUSTER AVE STE 1A
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City | EL PASO
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State | TX
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Zip | 79902-4646
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Country | US
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Telephone | 915-808-2937
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Fax | 915-369-6762
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Provider Business Mailing Address
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Address Line | 4849 N MESA ST STE 201
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City | EL PASO
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State | TX
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Zip | 79912-5919
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Country | US
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Telephone | 191-535-1660
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Fax | 915-351-6601
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Authorized Official
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Title or Position | NURSE PRACTIONER-ACUTE CARE
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Name | LUCIA EUNICE GODINEZ OROZCO
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Credential | NP
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Telephone | 915-351-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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