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General NPI Number Information
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NPI Number | 1992261309
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Entity Type | Organization
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Legal Business Name | HEALTH WEST LLC
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 3300 W MAIN ST STE F
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City | ARTESIA
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State | NM
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Zip | 88210-9617
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Country | US
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Telephone | 505-205-9820
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Fax |
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Provider Business Mailing Address
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Address Line | 311 HUNTER PASS
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City | WAXAHACHIE
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State | TX
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Zip | 75165-8235
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | KENNETH DAVIS
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Credential |
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Telephone | 505-205-9820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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