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General NPI Number Information
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NPI Number | 1366689036
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Entity Type | Organization
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Legal Business Name | CITY OF LUBBOCK
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 806 18TH STREET
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City | LUBBOCK
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State | TX
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Zip | 79408
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Country | US
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Telephone | 806-775-2935
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Fax | 806-775-3184
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Provider Business Mailing Address
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Address Line | PO BOX 2000
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City | LUBBOCK
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State | TX
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Zip | 79408
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Country | US
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Telephone | 806-775-2935
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Fax | 806-775-3184
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Authorized Official
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Title or Position | DIRECTOR OF PUBLIC HEALTH
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Name | KATHERINE WELLS
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Credential | MPH
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Telephone | 806-775-2941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare 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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | J9557
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License Number State | TX
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