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General NPI Number Information
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NPI Number | 1457168379
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Entity Type | Organization
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Legal Business Name | GUIDING STAR SOUTHWEST LLC
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 2908 HILLRISE DR
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City | LAS CRUCES
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State | NM
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Zip | 88011-4702
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Country | US
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Telephone | 915-544-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 1411 MONTANA AVE
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City | EL PASO
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State | TX
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Zip | 79902-5617
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Country | US
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Telephone | 915-544-9600
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARK CAVALIERE
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Credential |
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Telephone | 915-544-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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