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NPI 1144866237

NPI 1144866237 : CONQUEST HEALTH SERVICES LLC : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1144866237
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    Entity Type          |    Organization 
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    Legal Business Name  |    CONQUEST HEALTH SERVICES LLC 
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Dates
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    Enumeration Date     |    11/23/2019
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    Last Update Date     |    01/10/2024
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Provider Practice Location Address
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    Address Line         |    3400 N MCCOLL RD STE F-42 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78501-5782
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    Country              |    US
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    Telephone            |    956-867-7842
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3400 N MCCOLL RD STE F-42 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78501-5782
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    Country              |    US
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    Telephone            |    956-855-4322
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ALEJANRO  QUIROGA 
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    Credential           |    
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    Telephone            |    956-867-7531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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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        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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