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NPI 1124304225

NPI 1124304225 : MIL ENTERPRISES INC. : EL PASO, TX

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General NPI Number Information
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    NPI Number           |    1124304225
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    Entity Type          |    Organization 
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    Legal Business Name  |    MIL ENTERPRISES INC. 
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Dates
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    Enumeration Date     |    11/02/2011
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    Last Update Date     |    08/07/2019
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Provider Practice Location Address
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    Address Line         |    1417 DELTA DR 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79901-3119
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    Country              |    US
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    Telephone            |    915-328-0447
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    Fax                  |    915-585-4565
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Provider Business Mailing Address
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    Address Line         |    1417 DELTA DR 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79901-3119
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    Country              |    US
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    Telephone            |    915-328-0447
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    Fax                  |    915-585-4565
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. GLORIA  NARES 
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    Credential           |    RN
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    Telephone            |    915-328-0447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    
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