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General NPI Number Information
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NPI Number | 1861522583
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Entity Type | Organization
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Legal Business Name | EL PASO ONCOLOGY AND INTERNAL MEDICINE, P.A
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 5620 GATEWAY BLVD E
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City | EL PASO
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State | TX
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Zip | 79905-1717
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Country | US
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Telephone | 915-255-9317
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Fax | 915-249-6275
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Provider Business Mailing Address
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Address Line | 5620 GATEWAY BLVD E
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City | EL PASO
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State | TX
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Zip | 79905-1717
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Country | US
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Telephone | 915-255-9317
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Fax | 915-249-6275
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | NORMA BOETA
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Credential |
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Telephone | 915-255-9317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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