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General NPI Number Information
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NPI Number | 1467778308
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Entity Type | Organization
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Legal Business Name | TARRANT COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 04/16/2010
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Provider Practice Location Address
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Address Line | 1101 S MAIN ST SUITE 1500
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City | FORT WORTH
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State | TX
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Zip | 76104-4802
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Country | US
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Telephone | 817-321-4865
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 S MAIN ST SUITE 1500
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City | FORT WORTH
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State | TX
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Zip | 76104-4802
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AHS REGISTERED NURSE SPECIALIST
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Name | MS. THERESA A. ALVARADO
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Credential | RN
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Telephone | 817-321-4865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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