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General NPI Number Information
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NPI Number | 1982748646
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Entity Type | Organization
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Legal Business Name | REGION 19 EDUCATION SERVICE CENTER
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 6611 BOEING DR
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City | EL PASO
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State | TX
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Zip | 79925-1010
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Country | US
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Telephone | 915-780-6576
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Fax | 915-780-5303
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Provider Business Mailing Address
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Address Line | 6611 BOEING DR
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City | EL PASO
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State | TX
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Zip | 79925-1010
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Country | US
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Telephone | 915-780-6576
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Fax | 915-780-5303
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Authorized Official
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Title or Position | DATA BILLING MANAGEMENT COORDINATOR
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Name | SONIA E BETANCIS
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Credential |
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Telephone | 915-780-6564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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