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General NPI Number Information
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NPI Number | 1093818007
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Entity Type | Organization
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Legal Business Name | FIRST STREET HOSPITAL, LP
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 4801 BISSONNET
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City | BELLAIRE
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State | TX
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Zip | 77401-4028
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Country | US
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Telephone | 713-275-1111
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Fax | 713-275-1102
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Provider Business Mailing Address
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Address Line | 4801 BISSONNET
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City | BELLAIRE
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State | TX
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Zip | 77401-4028
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Country | US
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Telephone | 713-275-1111
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Fax | 713-275-1102
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Authorized Official
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Title or Position | CEO
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Name | MS. SHARON ANN MCDONOUGH
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Credential |
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Telephone | 713-275-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 008401
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License Number State | TX
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