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General NPI Number Information
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NPI Number | 1881940286
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Entity Type | Organization
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Legal Business Name | ALALIBO PLLC
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Dates
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Enumeration Date | 08/03/2012
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Last Update Date | 09/04/2012
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Provider Practice Location Address
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Address Line | 10600 N LOOP DR SUITE B2
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City | SOCORRO
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State | TX
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Zip | 79927-4626
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Country | US
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Telephone | 915-886-8899
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Fax | 915-248-0996
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Provider Business Mailing Address
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Address Line | 1120 CANYON RUN DR
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City | EL PASO
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State | TX
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Zip | 79912-7440
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Country | US
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Telephone | 915-886-8899
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Fax | 915-248-0996
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. ESEOVHE ALALIBO EBGORGE
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Credential | MD, MPH
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Telephone | 915-886-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | P1637
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License Number State | TX
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