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General NPI Number Information
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NPI Number | 1265754501
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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 | 02/26/2010
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 1905 WEST 19TH STREET
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City | MOUNTAIN GROVE
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State | MO
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Zip | 65711
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Country | US
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Telephone | 417-926-1770
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Fax | 417-926-1785
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Provider Business Mailing Address
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Address Line | 1905 WEST 19TH STREET
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City | MOUNTAIN GROVE
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State | MO
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Zip | 65711
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Country | US
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Telephone | 417-926-1770
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Fax | 417-926-1785
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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 | 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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