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General NPI Number Information
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NPI Number | 1568469989
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Entity Type | Organization
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Legal Business Name | EL PASO NURSING SERVICES, INC.
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1800 E CLIFF DR STE. B
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City | EL PASO
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State | TX
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Zip | 79902-5184
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Country | US
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Telephone | 915-546-2311
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Fax | 915-534-7874
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Provider Business Mailing Address
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Address Line | 1800 E CLIFF DR STE. B
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City | EL PASO
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State | TX
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Zip | 79902-5184
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Country | US
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Telephone | 915-546-2311
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Fax | 915-534-7874
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Authorized Official
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Title or Position | ADMINISTRATOR, DIRECTOR OF NURSING
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Name | MR. FERNANDO MONTEZ
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Credential | R.N.
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Telephone | 915-546-2311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HH008090
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License Number State | TX
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