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General NPI Number Information
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NPI Number | 1063436525
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Entity Type | Organization
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Legal Business Name | TERRY MEMORIAL HOSPITAL DISTRICT
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 705 E FELT ST
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City | BROWNFIELD
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State | TX
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Zip | 79316-3439
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Country | US
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Telephone | 806-637-3551
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Fax | 806-637-8102
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Provider Business Mailing Address
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Address Line | 705 E FELT ST
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City | BROWNFIELD
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State | TX
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Zip | 79316-3439
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Country | US
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Telephone | 806-637-3551
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Fax | 806-637-8102
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Authorized Official
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Title or Position | CFO
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Name | WHITNEY WILSON
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Credential |
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Telephone | 806-637-3551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | 000078
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 000078
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License Number State | TX
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