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General NPI Number Information
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NPI Number | 1629040621
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Entity Type | Organization
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Legal Business Name | CENTRO DE SALUD FAMILIAR LA FE, INC
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 700 S OCHOA ST
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City | EL PASO
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State | TX
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Zip | 79901-2936
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Country | US
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Telephone | 915-534-7979
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Fax | 915-534-7601
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Provider Business Mailing Address
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Address Line | 1314 E. YANDELL
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City | EL PASO
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State | TX
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Zip | 79902
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Country | US
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Telephone | 915-534-7979
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Fax | 915-534-7601
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Authorized Official
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Title or Position | CFO
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Name | LUCY RODARTE
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Credential |
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Telephone | 915-534-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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