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General NPI Number Information
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NPI Number | 1366597908
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Entity Type | Organization
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Legal Business Name | PECOS VALLEY REGIONAL EDUCATION COOP 8
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 2218 W GRAND AVE
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City | ARTESIA
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State | NM
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Zip | 88210
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Country | US
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Telephone | 575-748-6100
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Fax | 575-748-6160
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Provider Business Mailing Address
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Address Line | PO BOX 155
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City | ARTESIA
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State | NM
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Zip | 88211-0155
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Country | US
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Telephone | 575-748-6100
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Fax | 575-748-6160
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. LENA CHAVEZ
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Credential |
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Telephone | 575-748-6199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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