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NPI 1316944390

NPI 1316944390 : UVALDE COUNTY HOSPITAL AUTHORITY : UVALDE, TX

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General NPI Number Information
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    NPI Number           |    1316944390
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    Entity Type          |    Organization 
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    Legal Business Name  |    UVALDE COUNTY HOSPITAL AUTHORITY 
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Dates
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    Enumeration Date     |    07/05/2005
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    Last Update Date     |    11/17/2010
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Provider Practice Location Address
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    Address Line         |    124 ROYAL LN 
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    City                 |    UVALDE
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    State                |    TX
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    Zip                  |    78801-4838
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    Country              |    US
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    Telephone            |    830-278-6691
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    Fax                  |    930-278-7533
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Provider Business Mailing Address
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    Address Line         |    124 ROYAL LN 
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    City                 |    UVALDE
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    State                |    TX
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    Zip                  |    78801-4838
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    Country              |    US
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    Telephone            |    830-278-6251
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    Fax                  |    830-278-3756
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     JAMES E BUCKNER 
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    Credential           |    
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    Telephone            |    830-278-6251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    000063
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    License Number State |    TX
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