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General NPI Number Information
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NPI Number | 1235178930
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Entity Type | Organization
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Legal Business Name | TEXAS COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 139 W HIGHWAY 32
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City | LICKING
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State | MO
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Zip | 65542-9898
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Country | US
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Telephone | 573-674-3011
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Fax | 573-674-4765
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Provider Business Mailing Address
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Address Line | 139 W HIGHWAY 32
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City | LICKING
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State | MO
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Zip | 65542-9898
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Country | US
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Telephone | 573-674-3011
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Fax | 573-674-4765
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. LINDA J. PAMPERIEN
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Credential |
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Telephone | 417-967-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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