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General NPI Number Information
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NPI Number | 1386635951
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Entity Type | Organization
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Legal Business Name | FORT DUNCAN MEDICAL CENTER LP
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 3333 N FOSTER MALDONADO BLVD
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City | EAGLE PASS
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State | TX
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Zip | 78852
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Country | US
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Telephone | 830-773-5321
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 N FOSTER MALDONADO BLVD
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City | EAGLE PASS
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State | TX
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Zip | 78852
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Country | US
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Telephone | 830-773-5321
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Fax |
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Authorized Official
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Title or Position | CFO, SENIOR VP
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 547
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License Number State | TX
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