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General NPI Number Information
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NPI Number | 1467495184
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Entity Type | Organization
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Legal Business Name | REFUGIO COUNTY MEMORIAL HOSPITAL DISTRICT
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 120 WOOD AVE
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City | WOODSBORO
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State | TX
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Zip | 78393-0897
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Country | US
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Telephone | 361-543-5414
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 897 120 WOOD AVE
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City | WOODSBORO
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State | TX
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Zip | 78393-0897
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Country | US
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Telephone | 361-543-5414
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. COREY WASICEK
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Credential |
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Telephone | 361-526-2321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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