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General NPI Number Information
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NPI Number | 1447317359
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Entity Type | Organization
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Legal Business Name | COUNTY OF MEDINA
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 03/12/2012
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Provider Practice Location Address
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Address Line | 3103 AVENUE G
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City | HONDO
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State | TX
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Zip | 78861-3532
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Country | US
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Telephone | 830-741-6191
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Fax | 830-426-4202
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Provider Business Mailing Address
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Address Line | 3103 AVENUE G
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City | HONDO
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State | TX
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Zip | 78861-3532
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Country | US
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Telephone | 830-741-6191
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Fax | 830-426-4202
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Authorized Official
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Title or Position | HEALTH UNIT SUPERVISOR
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Name | MS. PAMELA MUENNINK
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Credential | RN
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Telephone | 830-741-6191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | TX
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