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General NPI Number Information
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NPI Number | 1598123713
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Entity Type | Organization
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Legal Business Name | EL PASO COMMUNITY MHMR
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 8500 BOEING DR.
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City | EL PASO
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State | TX
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Zip | 79925-1224
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Country | US
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Telephone | 915-887-3410
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Fax | 915-351-3643
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Provider Business Mailing Address
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Address Line | 201 E MAIN DR STE 600
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City | EL PASO
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State | TX
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Zip | 79901-1385
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Country | US
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Telephone | 915-887-3410
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Fax | 833-429-7587
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Authorized Official
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Title or Position | CHIEF OF REVENUE CYCLE
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Name | MICHELLE SUZANNE APONTE-PACHECO
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Credential | MBA, MSW
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Telephone | 915-887-3410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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Taxonomy #6
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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