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General NPI Number Information
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NPI Number | 1720201106
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Entity Type | Organization
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Legal Business Name | SOCORRO INDEPENDENT SCHOOL DISTRICT
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 11950 BOB MITCHELL DR
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City | EL PASO
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State | TX
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Zip | 79936-4553
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Country | US
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Telephone | 915-937-2760
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Fax | 915-937-2780
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Provider Business Mailing Address
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Address Line | 313 S RIO VISTA RD
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City | EL PASO
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State | TX
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Zip | 79927-1646
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Country | US
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Telephone | 915-937-1805
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Fax | 915-937-1887
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Authorized Official
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Title or Position | DIRECTOR OF BENEFITS
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Name | MARIO CARMONA
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Credential |
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Telephone | 915-937-0232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 065669601
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License Number State | TX
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