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General NPI Number Information
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NPI Number | 1295777324
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Entity Type | Organization
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Legal Business Name | LONE STAR HMA L P
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 1101 N GALLOWAY AVE
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City | MESQUITE
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State | TX
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Zip | 75149-2435
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Country | US
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Telephone | 972-270-3300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 731828
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City | DALLAS
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State | TX
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Zip | 75373-1828
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Country | US
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Telephone | 972-270-3300
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | LAURIE HOLTSFORD
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Credential |
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Telephone | 615-465-7466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 000315
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License Number State | TX
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