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General NPI Number Information
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NPI Number | 1235177486
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF TEXAS HEALTH CENTER AT TYLER
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11937 US HIGHWAY 271
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City | TYLER
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State | TX
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Zip | 75708-3154
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Country | US
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Telephone | 903-877-5139
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Fax | 903-877-2816
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Provider Business Mailing Address
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Address Line | 11937 US HIGHWAY 271
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City | TYLER
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State | TX
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Zip | 75708-3154
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Country | US
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Telephone | 903-877-5139
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Fax | 903-877-2816
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Authorized Official
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Title or Position | MICROBILOGY SUPERVISOR
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Name | MRS. ANGELA LANPHIER
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Credential | BS MT (ASCP)
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Telephone | 903-877-5139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281P00000X
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Taxonomy Name | Chronic Disease Hospital
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License Number |
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License Number State |
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