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General NPI Number Information
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NPI Number | 1073485082
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Entity Type | Organization
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Legal Business Name | EAST TEXAS BORDER HEALTH CLINIC
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 1902 E END BLVD N
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City | MARSHALL
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State | TX
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Zip | 75670
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Country | US
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Telephone | 903-578-6114
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S ALAMO BLVD
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City | MARSHALL
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State | TX
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Zip | 75670-4260
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JULIE STOWE
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Credential |
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Telephone | 903-927-3782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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