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General NPI Number Information
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NPI Number | 1104830900
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Entity Type | Organization
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Legal Business Name | VAL VERDE HOSPITAL CORPORATION
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 801 N BEDELL AVE
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City | DEL RIO
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State | TX
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Zip | 78840-4112
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Country | US
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Telephone | 830-775-8566
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Fax | 830-778-3638
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Provider Business Mailing Address
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Address Line | 801 N BEDELL AVE
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City | DEL RIO
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State | TX
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Zip | 78840-4112
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Country | US
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Telephone | 830-775-8566
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Fax | 830-778-3638
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Authorized Official
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Title or Position | CEO
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Name | JORGE JURADO
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Credential |
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Telephone | 830-778-3677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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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 | 341600000X
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Taxonomy Name | Ambulance
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 000462
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License Number State | TX
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