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General NPI Number Information
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NPI Number | 1326142712
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Entity Type | Organization
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Legal Business Name | ELECTRA HOSPITAL DISTRICT
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 10/04/2012
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Provider Practice Location Address
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Address Line | 1207 S BAILEY ST
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City | ELECTRA
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State | TX
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Zip | 76360-1112
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Country | US
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Telephone | 940-495-3981
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Fax | 940-495-4137
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Provider Business Mailing Address
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Address Line | 1207 S BAILEY ST PO BOX 1112
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City | ELECTRA
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State | TX
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Zip | 76360-1112
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Country | US
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Telephone | 940-495-3981
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Fax | 940-495-4137
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Authorized Official
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Title or Position | CFO
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Name | REBECCA MCCAIN
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Credential |
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Telephone | 940-495-3981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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