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NPI 1750155750

NPI 1750155750 : DESERT CITY DIAGNOSTICS LLC : EL PASO, TX

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General NPI Number Information
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    NPI Number           |    1750155750
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    Entity Type          |    Organization 
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    Legal Business Name  |    DESERT CITY DIAGNOSTICS LLC 
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Dates
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    Enumeration Date     |    11/09/2023
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    Last Update Date     |    11/09/2023
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Provider Practice Location Address
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    Address Line         |    1030 N ZARAGOZA RD STE A 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79907-1862
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    Country              |    US
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    Telephone            |    915-422-4544
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    Fax                  |    915-860-3220
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Provider Business Mailing Address
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    Address Line         |    1125 REGAL RIDGE DR 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79912-7431
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    Country              |    US
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    Telephone            |    915-422-4544
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    Fax                  |    915-860-3220
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Authorized Official
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    Title or Position    |    PARTNER
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    Name                 |    DR. CHARLES WILLIAM KARAM 
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    Credential           |    DC
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    Telephone            |    915-422-4544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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