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General NPI Number Information
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NPI Number | 1467450981
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Entity Type | Organization
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Legal Business Name | EL PASO INTERNISTS,PA
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 100 EXECUTIVE CENTER BLVD STE B
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City | EL PASO
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State | TX
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Zip | 79902-1102
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Country | US
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Telephone | 915-532-7881
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Fax | 915-532-0939
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Provider Business Mailing Address
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Address Line | 100 EXECUTIVE CENTER BLVD STE B
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City | EL PASO
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State | TX
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Zip | 79902-1102
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Country | US
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Telephone | 915-532-7881
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Fax | 915-532-0939
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AIME D. SERNA
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Credential | M.D.
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Telephone | 915-532-7881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | L2001
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License Number State | TX
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