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General NPI Number Information
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NPI Number | 1487659884
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Entity Type | Organization
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Legal Business Name | PHYSICIANS SPECIALTY HOSPITAL OF EL PASO EAST LP
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 1416 GEORGE DIETER DR
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City | EL PASO
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State | TX
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Zip | 79936-7601
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Country | US
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Telephone | 915-598-4240
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Fax | 915-849-4767
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Provider Business Mailing Address
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Address Line | 1416 GEORGE DIETER DR
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City | EL PASO
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State | TX
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Zip | 79936-7601
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Country | US
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Telephone | 915-598-4240
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Fax | 915-849-4767
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Authorized Official
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Title or Position | DIRECTOR PATIENT ACCOUNTS
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Name | MISS REBECCA I GOMEZ
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Credential |
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Telephone | 915-849-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 8013
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License Number State | TX
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