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General NPI Number Information
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NPI Number | 1033357645
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Entity Type | Organization
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Legal Business Name | DRISCOLL CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 3533 S ALAMEDA ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-1721
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Country | US
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Telephone | 361-694-5465
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 S ALAMEDA ST APARTMENT #13P
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-1800
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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 | VICE PRESIDENT OF MEDICAL EDUCATION
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Name | WILLIAM DIRKSEN
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Credential |
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Telephone | 361-694-5464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 520185
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 281PC2000X
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Taxonomy Name | Children's Chronic Disease Hospital
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License Number | 520185
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License Number State | TX
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