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General NPI Number Information
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NPI Number | 1023242906
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Entity Type | Organization
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Legal Business Name | PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVANCEMENT
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 6TH STREET AND LYLES
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City | TURKEY
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State | TX
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Zip | 79261
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Country | US
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Telephone | 806-423-1324
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 727
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City | HART
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State | TX
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Zip | 79043-0727
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Country | US
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Telephone | 806-938-2299
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. RETTA J KNOX
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Credential | RN
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Telephone | 806-938-2299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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