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NPI Code Detail

MEDICARE: VIRGINIA PICHARDO

MEDICARE: VIRGINIA PICHARDO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist15030TX

General Provider Information

NPI Number : 1821122813
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA PICHARDO
Provider Business Mailing Address
First Line : 1310 CYNTHIA FARAH PL
Second Line :
City : EL PASO
State : TX
Zip : 79936-6893
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7500 VISCOUNT BLVD
Second Line : SUITE C-49
City : EL PASO
State : TX
Zip : 79925-5638
Country : US
Telephone Number : 915-838-7604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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Directions to “ VIRGINIA PICHARDO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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