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General NPI Number Information
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NPI Number | 1063681286
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Entity Type | Organization
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Legal Business Name | COMMUNITY GENERAL HOSPITAL OF DILLEY TEXAS INC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 03/08/2013
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Provider Practice Location Address
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Address Line | 105 E HACKBERRY ST
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City | PEARSALL
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State | TX
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Zip | 78061-4412
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Country | US
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Telephone | 830-334-4016
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Fax | 830-334-4055
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Provider Business Mailing Address
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Address Line | 105 HACKBERRY STREET
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City | PEARSALL
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State | TX
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Zip | 78061-4412
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Country | US
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Telephone | 830-334-4016
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Fax | 830-334-4055
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Authorized Official
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Title or Position | CEO
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Name | DR. TARIQ MAHMOOD
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Credential | MD
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Telephone | 830-334-4016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | F5197
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License Number State | TX
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