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General NPI Number Information
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NPI Number | 1407792674
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Entity Type | Organization
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Legal Business Name | SCOTT & WHITE CLINIC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 2849 BARRON RD
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City | COLLEGE STATION
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State | TX
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Zip | 77845-9171
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Country | US
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Telephone | 979-207-6800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 800-994-0371
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Fax |
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Authorized Official
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Title or Position | SYSTEM DIRECTOR, CBS
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Name | ALICE CANTU
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Credential |
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Telephone | 254-215-9719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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