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General NPI Number Information
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NPI Number | 1013970862
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Entity Type | Organization
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Legal Business Name | PREFERRED HOSPITAL LEASING VAN HORN INC
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | EISENHOWER-FM 2185
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City | VAN HORN
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State | TX
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Zip | 79855
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Country | US
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Telephone | 432-283-2760
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Fax | 443-228-3258
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Provider Business Mailing Address
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Address Line | PO BOX 609
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City | VAN HORN
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State | TX
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Zip | 79855-0609
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Country | US
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Telephone | 432-283-2760
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Fax | 432-283-2581
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONALD FREEMAN
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Credential |
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Telephone | 405-878-0202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 055001
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 008172
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License Number State | TX
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