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General NPI Number Information
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NPI Number | 1326023847
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Entity Type | Organization
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Legal Business Name | OMEGA COUNSELING SERVICES
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8201 LOCKHEED DR STE 115
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City | EL PASO
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State | TX
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Zip | 79925-2500
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Country | US
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Telephone | 915-775-9891
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Fax | 915-775-9891
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Provider Business Mailing Address
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Address Line | 8201 LOCKHEED DR STE 115
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City | EL PASO
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State | TX
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Zip | 79925-2500
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Country | US
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Telephone | 915-775-9891
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Fax | 915-775-9891
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Authorized Official
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Title or Position | OWNER
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Name | MR. FRANCISCO-JAVIER VILLA-RIVERA
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Credential | LCDC/AAC
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Telephone | 915-775-9891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 2376-A
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License Number State | TX
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