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General NPI Number Information
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NPI Number | 1801920632
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Entity Type | Organization
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Legal Business Name | CENTRO DE SALUD FAMILIAR LA FE, INC.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 12101 SOCORRO RD.
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City | SAN ELIZARIO
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State | TX
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Zip | 79849
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Country | US
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Telephone | 915-851-5519
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Fax | 915-851-0558
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Provider Business Mailing Address
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Address Line | 1314 E. YANDELL
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City | EL PASO
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State | TX
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Zip | 79902
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Country | US
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Telephone | 915-534-7979
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Fax | 915-534-7601
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | LUCY RODARTE
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Credential |
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Telephone | 915-534-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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