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General NPI Number Information
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NPI Number | 1063480721
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Entity Type | Organization
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Legal Business Name | BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 721 N TAYLOR
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City | AMARILLO
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State | TX
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Zip | 79107-5279
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Country | US
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Telephone | 806-212-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 WALLACE BLVD
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City | AMARILLO
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State | TX
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Zip | 79106-1799
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Country | US
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Telephone | 806-212-2000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MRS. ELIZABETH A PULLIAM
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Credential | CPA
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Telephone | 806-212-5170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 003358
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License Number State | TX
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