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General NPI Number Information
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NPI Number | 1366266645
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Entity Type | Organization
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Legal Business Name | HOSPITAL MARIA DE LOURDES
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | HOSPITAL MARIA DE LOURDES 1 PONIENTE SECTOR JUAREZ
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City | PUERTO ESCONDIDO
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State | OAXACA
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Zip | 71984
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Country | MX
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Telephone | 888-449-7799
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Fax |
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Provider Business Mailing Address
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Address Line | HOSPITAL MARIA DE LOURDES 500 WESTOVER DR #34365
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City | SANFORD
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State | NC
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Zip | 27330
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Country | US
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Telephone | 888-449-7799
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | DR. JAVIER EZQUERRA
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Credential | MD
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Telephone | 888-449-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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