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General NPI Number Information
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NPI Number | 1477376119
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Entity Type | Organization
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Legal Business Name | TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 1325 PENNSYLVANIA AVE STE 290
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City | FORT WORTH
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State | TX
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Zip | 76104-2100
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Country | US
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Telephone | 682-236-5050
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Fax | 682-236-0034
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Provider Business Mailing Address
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Address Line | 1325 PENNSYLVANIA AVE STE 290
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City | FORT WORTH
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State | TX
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Zip | 76104-2100
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Country | US
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Telephone | 817-250-7150
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Fax | 817-250-7151
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Authorized Official
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Title or Position | SVP REVENUE CYCLE
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Name | JEFF MINCHER
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Credential |
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Telephone | 682-236-3013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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