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General NPI Number Information
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NPI Number | 1376353797
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Entity Type | Organization
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Legal Business Name | HOSPITEN VALLARTA
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | BLVD FCO. MEDINA ASCENCIO # 3970 COL. VILLA LAS FLORES
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City | PUERTO VALLARTA
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State | JALISCO
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Zip | 48335
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Country | MX
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Telephone | 322-226-2080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39662
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City | FT LAUDERDALE
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State | FL
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Zip | 33339-9662
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARIO DE LA TORRE
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Credential |
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Telephone | 954-526-9751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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