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General NPI Number Information
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NPI Number | 1801782917
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Entity Type | Organization
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Legal Business Name | EMMANUEL PHC SERVICES LLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | EMMANUEL PHC SERVICES LLC 542 MONTELL DR
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City | EL PASO
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State | TX
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Zip | 79927
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Country | US
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Telephone | 915-500-1024
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Fax | 915-500-1024
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Provider Business Mailing Address
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Address Line | EMMANUEL PHC SERVICES LLC 542 MONTELL DR
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City | EL PASO
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State | TX
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Zip | 79927
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Country | US
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Telephone | 915-500-1024
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Fax | 915-500-1024
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Authorized Official
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Title or Position | ADMINISTRATOR /OWNER
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Name | MISS AMY ELIZABETH ENRIQUEZ
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Credential |
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Telephone | 915-702-8144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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