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General NPI Number Information
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NPI Number | 1154962074
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Entity Type | Organization
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Legal Business Name | GUADALUPE COUNTY HOSPITAL BOARD
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 4925 ELIZABETH ST
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City | TEXARKANA
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State | TX
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Zip | 75503-2911
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Country | US
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Telephone | 903-793-4645
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Fax |
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Provider Business Mailing Address
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Address Line | 4925 ELIZABETH ST
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City | TEXARKANA
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State | TX
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Zip | 75503-2911
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Country | US
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Telephone | 903-793-4645
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Fax | 903-793-3956
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Authorized Official
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Title or Position | CFO
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Name | KODY GANN
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Credential |
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Telephone | 830-401-7721
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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 |
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