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General NPI Number Information
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NPI Number | 1124928940
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Entity Type | Organization
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Legal Business Name | ASCENSION SETON
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 2379 W SH 71
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City | LA GRANGE
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State | TX
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Zip | 78945
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Country | US
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Telephone | 512-715-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 311 ARSENAL ST
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City | WATERTOWN
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State | MA
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Zip | 02472-2782
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Country | US
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Telephone | 512-715-3100
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Fax |
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Authorized Official
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Title or Position | REG DIR NET REV & REIMB
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Name | JULIE HOLLY
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Credential |
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Telephone | 210-410-2789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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