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General NPI Number Information
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NPI Number | 1720970510
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PRIMARY CARE PA
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 125 W HAGUE RD STE 180
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City | EL PASO
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State | TX
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Zip | 79902-5811
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Country | US
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Telephone | 915-600-2705
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Fax |
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Provider Business Mailing Address
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Address Line | 9434 VISCOUNT BLVD STE 132
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City | EL PASO
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State | TX
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Zip | 79925-7053
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Country | US
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Telephone | 915-219-4246
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Fax | 915-231-6438
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Authorized Official
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Title or Position | OWNER
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Name | JOSE-RUBEN AYALA
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Credential | MD
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Telephone | 915-219-4246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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