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General NPI Number Information
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NPI Number | 1457358103
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Entity Type | Organization
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Legal Business Name | BELLVILLE HOSPITAL DISTRICT
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 44 N CUMMINGS
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City | BELLVILLE
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State | TX
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Zip | 77418-0977
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Country | US
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Telephone | 979-865-3141
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Fax | 979-865-9631
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Provider Business Mailing Address
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Address Line | 44 N CUMMINGS
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City | BELLVILLE
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State | TX
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Zip | 77418-0977
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Country | US
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Telephone | 979-865-3141
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Fax | 979-865-9631
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MICHAEL M MORRIS
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Credential | CEO
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Telephone | 979-865-3141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 000552
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 552
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 552
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 000552
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License Number State | TX
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