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General NPI Number Information
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NPI Number | 1194903427
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Entity Type | Organization
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Legal Business Name | EL PASO THERAPY SERVICES
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 6065 MONTANA AVE STE B2
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City | EL PASO
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State | TX
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Zip | 79925-1837
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Country | US
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Telephone | 915-225-0519
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Fax | 915-225-0523
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Provider Business Mailing Address
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Address Line | 6065 MONTANA AVE STE B2
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City | EL PASO
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State | TX
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Zip | 79925-1837
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Country | US
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Telephone | 915-225-0519
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Fax | 915-225-0523
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Authorized Official
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Title or Position | BUSINESS OFFICE DIRECTOR
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Name | MRS. SYLVIA REYES
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Credential |
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Telephone | 915-587-4081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0099069
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License Number State | TX
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