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General NPI Number Information
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NPI Number | 1083438907
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Entity Type | Individual
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Provider Name | EDUARDO GALVAN SARMIENTO
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Gender | Male
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 1510 N ZARAGOZA RD STE B1
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City | EL PASO
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State | TX
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Zip | 79936-7976
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Country | US
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Telephone | 915-921-6881
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Fax |
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Provider Business Mailing Address
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Address Line | 711 RACHELLE RD
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City | CHAPARRAL
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State | NM
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Zip | 88081-7536
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Country | US
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Telephone | 915-383-3569
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 44036
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License Number State | TX
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