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General NPI Number Information
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NPI Number | 1124766514
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL HEALTH CARE LUBBOCK LLC
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Dates
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Enumeration Date | 05/25/2022
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 6401 SPUR 327
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City | LUBBOCK
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State | TX
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Zip | 79424-2719
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Country | US
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Telephone | 469-341-7800
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Fax | 469-341-7887
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Provider Business Mailing Address
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Address Line | PO BOX 227404
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City | DALLAS
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State | TX
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Zip | 75222-7404
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Country | US
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Telephone | 469-341-7800
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Fax | 469-341-7887
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Authorized Official
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Title or Position | DIRECTOR
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Name | RONALD IVAN COLLINS
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Credential |
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Telephone | 972-740-9335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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