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General NPI Number Information
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NPI Number | 1568640837
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Entity Type | Organization
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Legal Business Name | EL PASO LTACH PARTNER, LP
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 1221 N COTTON ST 3RD FLR
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City | EL PASO
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State | TX
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Zip | 79902-3015
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Country | US
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Telephone | 915-496-9687
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Fax | 915-496-9695
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Provider Business Mailing Address
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Address Line | 1221 N COTTON ST 3RD FLR
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City | EL PASO
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State | TX
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Zip | 79902-3015
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Country | US
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Telephone | 915-496-9687
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Fax | 915-496-9695
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Authorized Official
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Title or Position | CEO
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Name | MRS. EVELYN G STEWART
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Credential | RN
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Telephone | 915-496-9688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 841300
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License Number State | TX
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