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General NPI Number Information
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NPI Number | 1356324727
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Entity Type | Organization
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Legal Business Name | TEXAS COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 1422 S SAM HOUSTON BLVD STE 200
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City | HOUSTON
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State | MO
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Zip | 65483
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Country | US
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Telephone | 417-967-1240
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Fax | 417-967-2360
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Provider Business Mailing Address
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Address Line | 1333 S SAM HOUSTON BLVD
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City | HOUSTON
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State | MO
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Zip | 65483-2046
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Country | US
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Telephone | 417-967-1240
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Fax | 417-967-2360
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Authorized Official
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Title or Position | CFO
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Name | MRS. LINDA J PAMPERIEN
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Credential |
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Telephone | 417-967-1255
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 101-21
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License Number State | MO
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