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General NPI Number Information
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NPI Number | 1407465735
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Entity Type | Organization
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Legal Business Name | LIFE TOUCH HEALTH & WELLNESS CENTER
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 2215 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8472
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Country | US
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Telephone | 956-664-0106
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Fax | 956-664-0107
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Provider Business Mailing Address
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Address Line | 2215 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8472
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Country | US
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Telephone | 956-664-0106
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Fax | 956-664-0107
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Authorized Official
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Title or Position | PARTNER
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Name | MR. RAUL I NAVA
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Credential |
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Telephone | 956-664-0106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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