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General NPI Number Information
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NPI Number | 1104920412
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Entity Type | Organization
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Legal Business Name | BAPTIST HOSPITALS OF SOUTH EAST TEXAS
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 3080 COLLEGE ST
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City | BEAUMONT
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State | TX
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Zip | 77701-4606
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Country | US
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Telephone | 409-212-6149
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Fax | 409-212-6063
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Provider Business Mailing Address
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Address Line | P O BOX 974599
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City | DALLAS
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State | TX
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Zip | 75397-4599
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Country | US
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Telephone | 409-212-6149
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Fax | 409-212-6063
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Authorized Official
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Title or Position | CEO
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Name | MR. JUSTIN DOSS
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Credential |
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Telephone | 409-212-5012
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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 | 000389
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License Number State | TX
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