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General NPI Number Information
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NPI Number | 1053434811
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Entity Type | Organization
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Legal Business Name | OCHILTREE COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 401 SW 24TH AVE
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City | PERRYTON
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State | TX
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Zip | 79070-5125
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Country | US
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Telephone | 806-648-1884
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Fax | 806-648-1878
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Provider Business Mailing Address
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Address Line | 3101 GARRETT DR
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City | PERRYTON
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State | TX
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Zip | 79070-5323
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Country | US
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Telephone | 806-435-3606
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Fax | 806-435-2813
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Authorized Official
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Title or Position | INTERIM CEO
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Name | MRS. KELLY PAIGE JUDICE
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Credential |
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Telephone | 806-435-3606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 118124
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License Number State | TX
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