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General NPI Number Information
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NPI Number | 1144025198
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Entity Type | Organization
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Legal Business Name | S EL PASO OPERATIONS LLC
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 14300 PEBBLE HILLS BLVD
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City | EL PASO
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State | TX
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Zip | 79938-2467
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Country | US
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Telephone | 915-955-9998
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 CROWN POINTE PKWY STE 600
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City | ATLANTA
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State | GA
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Zip | 30338-4741
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | CRAIG ROBINSON
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Credential |
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Telephone | 770-698-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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