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General NPI Number Information
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NPI Number | 1184888695
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Entity Type | Organization
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Legal Business Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 4812 100TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-5702
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Country | US
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Telephone | 806-368-6365
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Fax |
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Provider Business Mailing Address
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Address Line | 4812 100TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-5702
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Country | US
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Telephone | 806-368-6365
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Fax |
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Authorized Official
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Title or Position | RESIDENT PHYSICIAN
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Name | DAVID SHANNON HOWELL
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Credential | M.D.
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Telephone | 806-939-6716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | BP10031378
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License Number State | TX
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