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General NPI Number Information
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NPI Number | 1063407922
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CLINIC
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 160 RIVER NORTH BLVD
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City | STEPHENVILLE
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State | TX
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Zip | 76401-1803
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Country | US
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Telephone | 254-968-6051
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Fax | 254-968-4950
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Provider Business Mailing Address
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Address Line | 160 RIVER NORTH BLVD
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City | STEPHENVILLE
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State | TX
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Zip | 76401-1803
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Country | US
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Telephone | 254-968-6051
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Fax | 254-968-4950
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. JENNA SANCHEZ
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Credential |
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Telephone | 254-968-6051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 456297
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L2522
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 251622
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K6312
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E9244
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License Number State | TX
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