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General NPI Number Information
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NPI Number | 1104913334
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Entity Type | Organization
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Legal Business Name | PROVIDENCE HOSPITAL LP
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 230 CALLE DEL NORTE
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City | LAREDO
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State | TX
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Zip | 78041-5957
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Country | US
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Telephone | 956-693-5022
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Fax | 956-712-3646
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Provider Business Mailing Address
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Address Line | 230 CALLE DEL NORTE
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City | LAREDO
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State | TX
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Zip | 78041-5957
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Country | US
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Telephone | 956-693-5022
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Fax | 956-712-3646
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MS. NORMA TORRES
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Credential |
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Telephone | 956-693-5022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | TX
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