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NPI 1497570196

NPI 1497570196 : RIOS RNFA : EL PASO, TX

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General NPI Number Information
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    NPI Number           |    1497570196
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIOS RNFA 
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Dates
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    Enumeration Date     |    11/18/2024
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    Last Update Date     |    11/18/2024
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Provider Practice Location Address
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    Address Line         |    4218 LOMA ROSADA DR 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79934-3771
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    Country              |    US
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    Telephone            |    214-224-2457
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    Fax                  |    214-764-0880
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Provider Business Mailing Address
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    Address Line         |    4218 LOMA ROSADA DR 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79934-3771
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    Country              |    US
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    Telephone            |    214-224-2457
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    Fax                  |    214-764-0880
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BRENDA LISETTE RIOS 
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    Credential           |    RNFA
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    Telephone            |    214-227-2457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WR0006X
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    Taxonomy Name        |    Registered Nurse First Assistant
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    License Number       |    
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    License Number State |    
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