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General NPI Number Information
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NPI Number | 1235288911
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Entity Type | Organization
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Legal Business Name | LAREDO TEXAS HOSPITAL COMPANY LP
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1700 E SAUNDERS ST
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City | LAREDO
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State | TX
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Zip | 78041-5401
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Country | US
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Telephone | 956-796-4929
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 E SAUNDERS ST
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City | LAREDO
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State | TX
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Zip | 78041-5401
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Country | US
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Telephone | 956-796-4929
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Fax |
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Authorized Official
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Title or Position | PRESIDEN GROUP OPERATIONS
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Name | MR. MICHAEL PORTACCI
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Credential |
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Telephone | 615-465-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 000207
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License Number State | TX
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