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General NPI Number Information
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NPI Number | 1326001462
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Entity Type | Organization
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Legal Business Name | SCOTT & WHITE CENTER FOR CANCER PREVENTION AND CARE
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 2207 S CLEAR CREEK RD SUITE 101
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City | KILLEEN
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State | TX
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Zip | 76549-4132
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Country | US
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Telephone | 254-200-3200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 847408
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City | DALLAS
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State | TX
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Zip | 75284-7408
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSOC VICE PRESIDENT, RCO
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Name | ALICE CANTU
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Credential |
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Telephone | 254-215-9719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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