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General NPI Number Information
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NPI Number | 1083619712
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Entity Type | Organization
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Legal Business Name | GENERAL HOSPITAL
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 600 HWY 349 NORTH
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City | IRAAN
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State | TX
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Zip | 79744-0665
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Country | US
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Telephone | 432-639-2575
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Fax | 432-639-6292
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Provider Business Mailing Address
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Address Line | PO BOX 665
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City | IRAAN
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State | TX
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Zip | 79744-0665
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Country | US
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Telephone | 432-639-2575
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Fax | 432-639-6292
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Authorized Official
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Title or Position | ACTING CEO
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Name | MR. WILLIAM NALL
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Credential |
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Telephone | 432-639-2575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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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 | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 000258
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License Number State | TX
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