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General NPI Number Information
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NPI Number | 1093046070
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Entity Type | Organization
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Legal Business Name | MULESHOE AREA HOSPITAL DISTRICT
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 708 S 1ST ST
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City | MULESHOE
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State | TX
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Zip | 79347-3627
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Country | US
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Telephone | 806-272-5421
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Fax | 806-272-5623
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Provider Business Mailing Address
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Address Line | 708 S 1ST ST
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City | MULESHOE
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State | TX
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Zip | 79347-3627
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Country | US
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Telephone | 806-272-5421
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Fax | 806-272-5623
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MR. JASON W ANGLIN
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Credential |
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Telephone | 806-272-4524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 000631
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License Number State | TX
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