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General NPI Number Information
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NPI Number | 1043681356
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Entity Type | Organization
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Legal Business Name | TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 1301 PENNSYLVANIA AVE
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City | FT WORTH
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State | TX
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Zip | 76104-2122
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Country | US
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Telephone | 817-882-3770
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Fax | 817-882-3781
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Provider Business Mailing Address
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Address Line | PO BOX 916063
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City | FT WORTH
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State | TX
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Zip | 76191-6063
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Country | US
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Telephone | 682-236-3576
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Fax | 682-236-4608
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. OSCAR L. AMPARAN
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Credential |
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Telephone | 817-250-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number | 000235
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License Number State | TX
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