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General NPI Number Information
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NPI Number | 1417328279
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Entity Type | Organization
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Legal Business Name | SOUTH PLAINS RURAL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 1300 S GREGG STREET
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City | LAMESA
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State | TX
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Zip | 79331
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Country | US
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Telephone | 432-517-4557
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Fax | 432-517-4561
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Provider Business Mailing Address
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Address Line | 1000 FM 300
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City | LEVELLAND
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State | TX
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Zip | 79336-6235
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Country | US
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Telephone | 806-894-7842
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Fax | 806-894-3378
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Authorized Official
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Title or Position | CFO
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Name | TARA HASKELL
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Credential |
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Telephone | 806-894-7842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 537334
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License Number State | TX
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