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General NPI Number Information
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NPI Number | 1336386978
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Entity Type | Organization
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Legal Business Name | FISHER COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 09/07/2010
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Provider Practice Location Address
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Address Line | 774 STATE HIGHWAY 70 NORTH
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City | ROTAN
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State | TX
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Zip | 79546
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Country | US
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Telephone | 325-735-2256
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Fax | 325-735-3070
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Provider Business Mailing Address
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Address Line | PO BOX L
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City | ROTAN
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State | TX
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Zip | 79546-0491
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Country | US
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Telephone | 325-735-2256
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Fax | 325-735-3070
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | MRS. KATHY SPENCER
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Credential |
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Telephone | 325-776-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | C5625
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License Number State | TX
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