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General NPI Number Information
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NPI Number | 1275704421
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Entity Type | Organization
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Legal Business Name | SOUTH LIMESTONE HOSPITAL DISTRICT
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 1420 MCCREARY RD
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City | WYLIE
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State | TX
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Zip | 75098-8776
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Country | US
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Telephone | 972-442-6776
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Fax | 972-442-6011
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Provider Business Mailing Address
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Address Line | 1500 WATERS RIDGE DR STE 200
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City | LEWISVILLE
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State | TX
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Zip | 75057-6011
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Country | US
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Telephone | 972-899-4401
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Fax | 972-899-4460
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Authorized Official
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Title or Position | AUTHORIZED OFFICER
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Name | LARRY N PRICE
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Credential |
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Telephone | 254-729-2689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 124862
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License Number State | TX
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