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General NPI Number Information
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NPI Number | 1093828923
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Entity Type | Organization
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Legal Business Name | SOUTH PLAINS RURAL HEALTH SERVICES INC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 FARM MARKET RD 300
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City | LEVELLAND
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State | TX
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Zip | 79336-6235
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Country | US
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Telephone | 806-897-1987
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Fax | 806-894-3378
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Provider Business Mailing Address
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Address Line | 1000 FARM MARKET RD 300
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City | LEVELLAND
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State | TX
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Zip | 79336-6235
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Country | US
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Telephone | 806-897-1987
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Fax | 806-894-3378
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JUDITH MADURA
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Credential | M.D.
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Telephone | 806-897-1987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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