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General NPI Number Information
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NPI Number | 1235737008
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Entity Type | Organization
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Legal Business Name | JACK COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 1005 STATE HIGHWAY 16 S
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City | GRAHAM
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State | TX
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Zip | 76450-3835
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Country | US
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Telephone | 940-282-2512
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Fax | 940-567-2895
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Provider Business Mailing Address
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Address Line | 215 CHISHOLM TRL
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City | JACKSBORO
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State | TX
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Zip | 76458-1403
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Country | US
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Telephone | 940-567-6633
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Fax | 940-567-2895
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Authorized Official
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Title or Position | CEO
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Name | MR. FRANK L BEAMAN
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Credential |
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Telephone | 940-567-6633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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