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General NPI Number Information
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NPI Number | 1255133443
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Entity Type | Organization
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Legal Business Name | SOUTH PLAINS RURAL HEALTH SERVICES INC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 1502 N AVENUE K
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City | LAMESA
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State | TX
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Zip | 79331-3040
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Country | US
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Telephone | 806-872-3069
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Fax | 806-894-3378
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Provider Business Mailing Address
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Address Line | 1000 FM 300
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City | LEVELLAND
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State | TX
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Zip | 79336-6235
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Country | US
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Telephone | 806-894-7842
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Fax |
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Authorized Official
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Title or Position | CLERK
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Name | CYNTHIA MARIE CAMACHO
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Credential |
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Telephone | 806-894-7842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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