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General NPI Number Information
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NPI Number | 1780355610
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Entity Type | Organization
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Legal Business Name | HOSPITAL MEDICA DE LA CIUDAD
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | CALLE PABLO VALDEZ 719, LA PERLA,
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City | GUADALAJARA
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State | JALISCO
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Zip | 44360
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Country | MX
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Telephone | 333-883-2088
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Fax |
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Provider Business Mailing Address
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Address Line | 5830 E 2ND ST
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City | CASPER
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State | WY
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Zip | 82609-4308
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. ARACELY LIZBETH QUINONEZ GALLARDO
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Credential | MANAGER
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Telephone | 333-883-2088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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