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General NPI Number Information
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NPI Number | 1275345514
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Entity Type | Organization
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Legal Business Name | CORE HEALTH OF DALHART, LLC
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1021 E 10TH ST
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City | DALHART
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State | TX
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Zip | 79022-4005
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Country | US
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Telephone | 806-244-0003
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Fax | 806-288-6041
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Provider Business Mailing Address
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Address Line | 1021 E 10TH ST
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City | DALHART
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State | TX
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Zip | 79022-4005
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Country | US
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Telephone | 806-244-0003
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KRISTEN RICHARDSON
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Credential | LVN
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Telephone | 806-244-0003
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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