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General NPI Number Information
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NPI Number | 1316901135
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Entity Type | Organization
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Legal Business Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 4815 ALAMEDA AVE
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City | EL PASO
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State | TX
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Zip | 79905-2705
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Country | US
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Telephone | 915-545-8823
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Fax | 915-545-9799
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Provider Business Mailing Address
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Address Line | PO BOX 9520
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City | EL PASO
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State | TX
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Zip | 79995-9520
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Country | US
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Telephone | 915-545-9795
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Fax | 915-545-9799
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Authorized Official
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Title or Position | VICE PRESIDENT FOR FINANCE AND ADMI
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Name | SUE FUCIARELLI
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Credential |
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Telephone | 915-215-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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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 | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | TX
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