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General NPI Number Information
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NPI Number | 1346904281
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Entity Type | Organization
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Legal Business Name | FANNIN COUNTY HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1350 W US HIGHWAY 79
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City | ROCKDALE
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State | TX
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Zip | 76567-5335
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Country | US
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Telephone | 512-446-2548
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Fax | 512-446-4277
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Provider Business Mailing Address
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Address Line | 1350 W US HIGHWAY 79
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City | ROCKDALE
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State | TX
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Zip | 76567-5335
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Country | US
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Telephone | 512-446-2548
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Fax |
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | CLARK SANDERSON
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Credential |
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Telephone | 817-372-7224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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