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General NPI Number Information
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NPI Number | 1164417085
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Entity Type | Organization
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Legal Business Name | LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 809 SINGLETON BLVD
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City | DALLAS
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State | TX
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Zip | 75212-4014
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Country | US
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Telephone | 214-651-8739
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Fax | 214-379-2281
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Provider Business Mailing Address
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Address Line | 809 SINGLETON BLVD
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City | DALLAS
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State | TX
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Zip | 75212-4014
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Country | US
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Telephone | 214-651-8739
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Fax | 214-379-2281
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Authorized Official
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Title or Position | CEO
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Name | MS. LEONOR MARQUEZ
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Credential |
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Telephone | 214-651-8732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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