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General NPI Number Information
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NPI Number | 1568464550
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Entity Type | Organization
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Legal Business Name | EL PASO PULMONARY ASSOCIATION
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 4305 N MESA ST STE A
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City | EL PASO
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State | TX
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Zip | 79902-1105
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Country | US
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Telephone | 915-532-2477
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Fax | 915-532-2470
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Provider Business Mailing Address
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Address Line | 4305 N MESA ST STE A
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City | EL PASO
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State | TX
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Zip | 79902-1105
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Country | US
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Telephone | 915-532-2477
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Fax | 915-532-2470
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EUGENIO ARMENDARIZ
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Credential | MD
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Telephone | 915-532-2477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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