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General NPI Number Information
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NPI Number | 1740667179
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Entity Type | Organization
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Legal Business Name | PALO VERDE HEALTH CARE DISTRICT
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 291 N SECOND STREET
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City | BLYTHE
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State | CA
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Zip | 92225-1777
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Country | US
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Telephone | 760-922-4115
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Fax | 760-921-5263
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Provider Business Mailing Address
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Address Line | 250 N 1ST ST
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City | BLYTHE
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State | CA
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Zip | 92225-1702
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Country | US
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Telephone | 760-922-4115
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Fax | 760-921-5263
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Authorized Official
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Title or Position | EXECUTIVE LEADERSHIP ASSISTANT
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Name | MRS. REGINA VELOZ
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Credential |
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Telephone | 760-921-5150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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