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General NPI Number Information
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NPI Number | 1053710376
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Entity Type | Organization
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Legal Business Name | BAYLOR COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 4810 KEMP BLVD
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City | WICHITA FALLS
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State | TX
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Zip | 76308
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Country | US
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Telephone | 940-766-0281
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Fax | 940-723-4935
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Provider Business Mailing Address
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Address Line | 4810 KEMP BLVD
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City | WICHITA FALLS
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State | TX
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Zip | 76308
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Country | US
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Telephone | 940-766-0281
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Fax | 940-723-4935
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Authorized Official
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Title or Position | CEO
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Name | MRS. LESLIE HARDIN
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Credential |
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Telephone | 940-889-5572
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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 |
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License Number State |
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