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General NPI Number Information
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NPI Number | 1407229529
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Entity Type | Organization
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Legal Business Name | DECATUR HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 11/11/2015
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 3200 N TARRANT PKWY
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City | FORT WORTH
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State | TX
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Zip | 76177-8611
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Country | US
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Telephone | 817-502-7300
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Fax | 817-502-7401
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Provider Business Mailing Address
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Address Line | 2000 S FM 51
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City | DECATUR
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State | TX
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Zip | 76234-3702
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Country | US
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Telephone | 940-627-5921
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Fax | 940-393-0561
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Authorized Official
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Title or Position | CEO
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Name | MR. JASON WREN
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Credential |
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Telephone | 940-626-8671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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