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General NPI Number Information
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NPI Number | 1164225124
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Entity Type | Organization
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Legal Business Name | WEST TEXAS INTEGRATED HEALTHCARE NETWORK
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 400 ROSALIND REDFERN GROVER PKWY
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City | MIDLAND
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State | TX
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Zip | 79701-6499
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Country | US
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Telephone | 432-221-5678
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Fax |
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Provider Business Mailing Address
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Address Line | 400 ROSALIND REDFERN GROVER PKWY
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City | MIDLAND
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State | TX
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Zip | 79701-6499
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Country | US
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Telephone | 432-221-5678
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | REBECCA PONTASKI
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Credential | MHA, CPMSM, CPCS
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Telephone | 432-221-5678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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