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General NPI Number Information
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NPI Number | 1225289499
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Entity Type | Organization
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Legal Business Name | LUBBOCK HERITAGE HOSPITAL, LLC.
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 7509 MARSHA SHARP FWY
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City | LUBBOCK
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State | TX
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Zip | 79407-8202
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Country | US
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Telephone | 806-725-4000
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Fax | 806-788-4278
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Provider Business Mailing Address
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Address Line | PO BOX 676200
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City | DALLAS
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State | TX
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Zip | 75267-6200
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Country | US
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Telephone | 806-725-4000
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Fax | 806-725-4001
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Authorized Official
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Title or Position | ASSISTANT SECRETARY OF ENROLLMENTS
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Name | DONALD W ANDERSON JR.
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Credential |
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Telephone | 425-358-9786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 13005
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | R32837
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number | #M01038
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 008366
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 008730
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 45D1057650
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | TX008366
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License Number State | TX
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