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General NPI Number Information
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NPI Number | 1114220928
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Entity Type | Organization
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Legal Business Name | COMANCHE COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 10201 HIGHWAY 16
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City | COMANCHE
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State | TX
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Zip | 76442-4462
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Country | US
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Telephone | 254-879-4900
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Fax | 254-879-4990
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Provider Business Mailing Address
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Address Line | 10201 HIGHWAY 16
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City | COMANCHE
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State | TX
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Zip | 76442-4462
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Country | US
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Telephone | 254-879-4900
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Fax | 254-879-4990
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Authorized Official
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Title or Position | COO
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Name | NIKKI STARK
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Credential |
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Telephone | 254-879-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 111111
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License Number State | TX
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