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General NPI Number Information
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NPI Number | 1376510347
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Entity Type | Organization
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Legal Business Name | BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1600 WALLACE BLVD
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City | AMARILLO
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State | TX
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Zip | 79106-1799
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Country | US
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Telephone | 806-212-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 WALLACE BLVD
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City | AMARILLO
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State | TX
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Zip | 79106-1799
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Country | US
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Telephone | 806-212-2000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MRS. ELIZABETH A PULLIAM
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Credential | CPA
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Telephone | 806-212-5170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 000001
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License Number State | TX
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