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General NPI Number Information
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NPI Number | 1356312243
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Entity Type | Organization
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Legal Business Name | BIG BEND HOSPITAL CORPORATION
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 2600 N HIGHWAY 118
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City | ALPINE
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State | TX
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Zip | 79830-2002
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Country | US
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Telephone | 432-837-3447
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Fax | 432-837-0330
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Provider Business Mailing Address
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Address Line | PO BOX 846339
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City | DALLAS
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State | TX
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Zip | 75284-6339
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | TARA P RICHARDSON
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Credential |
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Telephone | 615-221-3672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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