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General NPI Number Information
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NPI Number | 1326379330
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Entity Type | Organization
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Legal Business Name | DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 100 N 3RD
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City | TEXLINE
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State | TX
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Zip | 79087
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Country | US
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Telephone | 806-362-4651
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Fax | 806-362-4627
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Provider Business Mailing Address
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Address Line | PO BOX 177
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City | TEXLINE
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State | TX
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Zip | 79087-0177
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Country | US
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Telephone | 806-362-4651
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Fax | 806-362-4627
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Authorized Official
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Title or Position | CEO AND HOSPITAL ADMINISTRATOR
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Name | MS. LOREE TAMAYO
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Credential |
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Telephone | 806-244-4571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01505
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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