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General NPI Number Information
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NPI Number | 1053511980
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Entity Type | Organization
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Legal Business Name | DEWITT MEDICAL DISTRICT
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 1525 TULL DR
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City | KATY
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State | TX
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Zip | 77449-5099
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Country | US
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Telephone | 281-578-1600
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Fax | 281-829-3562
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Provider Business Mailing Address
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Address Line | 1525 TULL DR
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City | KATY
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State | TX
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Zip | 77449-5099
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Country | US
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Telephone | 281-578-1600
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Fax | 281-829-3562
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Authorized Official
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Title or Position | CFO
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Name | ALMA ALEXANDER
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Credential |
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Telephone | 361-275-6191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 114213
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License Number State | TX
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