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General NPI Number Information
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NPI Number | 1154319853
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Entity Type | Organization
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Legal Business Name | STRATFORD HOSPITAL DISTRICT
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1201 N 15TH ST
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City | LAMESA
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State | TX
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Zip | 79331-3025
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Country | US
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Telephone | 806-872-2141
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Fax | 806-872-2299
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Provider Business Mailing Address
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Address Line | PO BOX 1189
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City | STRATFORD
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State | TX
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Zip | 79084-1189
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Country | US
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Telephone | 806-396-2844
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Fax | 806-396-2086
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MARK MCKENZIE
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Credential |
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Telephone | 817-632-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | TX
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