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General NPI Number Information
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NPI Number | 1922383371
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Entity Type | Organization
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Legal Business Name | HOLY FAMILY SERVICES
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 5819 N FM 88
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City | WESLACO
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State | TX
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Zip | 78596-2275
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Country | US
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Telephone | 956-969-2538
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Fax |
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Provider Business Mailing Address
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Address Line | 3746 HADLEY HILL DR
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City | SANTA ROSA
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State | CA
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Zip | 95404-7681
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Country | US
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Telephone | 720-346-4241
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Fax |
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Authorized Official
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Title or Position | CLINICAL COORDINATOR
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Name | HEATHER SWANSON
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Credential | CNM, FNP
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Telephone | 956-969-2538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State | TX
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