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General NPI Number Information
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NPI Number | 1346289170
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Entity Type | Organization
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Legal Business Name | KING'S DAUGHTERS HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 1901 SW HK DODGEN LOOP
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City | TEMPLE
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State | TX
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Zip | 76502
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Country | US
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Telephone | 254-742-9391
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Fax | 254-742-9545
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Provider Business Mailing Address
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Address Line | 1901 SW HK DODGEN LOOP
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City | TEMPLE
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State | TX
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Zip | 76502
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Country | US
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Telephone | 254-742-9391
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Fax | 254-742-9545
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Authorized Official
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Title or Position | VICE PRESIDENT/CFO
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Name | ERIC LASHBROOK
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Credential |
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Telephone | 254-771-8609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 003015
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License Number State | TX
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