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General NPI Number Information
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NPI Number | 1437170313
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Entity Type | Organization
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Legal Business Name | LUBBOCK COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 602 INDIANA AVE
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City | LUBBOCK
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State | TX
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Zip | 79415-3364
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Country | US
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Telephone | 806-775-8400
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Fax | 806-775-8412
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Provider Business Mailing Address
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Address Line | PO BOX 5980
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City | LUBBOCK
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State | TX
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Zip | 79408-5980
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Country | US
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Telephone | 806-161-0843
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Fax | 806-472-6802
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Authorized Official
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Title or Position | MANAGER, EDI
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Name | JOHN MARTIN
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Credential |
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Telephone | 806-761-0843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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