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General NPI Number Information
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NPI Number | 1134330806
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CENTER OF LUBBOCK
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3601 4TH ST
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City | LUBBOCK
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State | TX
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Zip | 79430-0002
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Country | US
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Telephone | 806-743-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 BROADWAY ST SUITE 5
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City | LUBBOCK
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State | TX
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Zip | 79401-3277
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Country | US
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Telephone | 806-765-2611
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Fax |
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Authorized Official
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Title or Position | SPECIAL PROJECTS COORDINATOR
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Name | ELIZABETH ANNE BURCH
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Credential |
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Telephone | 806-765-2611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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