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General NPI Number Information
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NPI Number | 1417434994
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Entity Type | Organization
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Legal Business Name | VILLAS DEL SOL
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 520 EAST RD
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City | EL PASO
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State | TX
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Zip | 79915-3005
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Country | US
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Telephone | 915-307-2011
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Fax | 915-261-7565
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Provider Business Mailing Address
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Address Line | 520 EAST RD
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City | EL PASO
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State | TX
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Zip | 79915-3005
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Country | US
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Telephone | 915-307-2011
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Fax | 915-261-7565
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM BURKETT
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Credential |
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Telephone | 915-834-9130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 149975
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License Number State |
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