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General NPI Number Information
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NPI Number | 1134169907
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Entity Type | Organization
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Legal Business Name | VALLEY BAPTIST MANAGEMENT SERVICES CORPORATION
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 2121 PEASE ST SUITE 102
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City | HARLINGEN
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State | TX
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Zip | 78550-8348
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Country | US
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Telephone | 956-389-3800
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Fax | 956-389-3802
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Provider Business Mailing Address
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Address Line | PO BOX 2588
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City | HARLINGEN
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State | TX
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Zip | 78551-2588
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Country | US
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Telephone | 956-389-1776
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Fax | 956-389-1137
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT COO CFO
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Name | MR. JAMES E EASTHAM
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Credential |
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Telephone | 956-389-1604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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