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General NPI Number Information
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NPI Number | 1487607792
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Entity Type | Organization
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Legal Business Name | PINEY WOODS HEALTHCARE SYSTEM, L.P.
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 505 S JOHN REDDITT DR
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City | LUFKIN
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State | TX
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Zip | 75904-3120
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Country | US
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Telephone | 936-634-8311
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Fax |
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Provider Business Mailing Address
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Address Line | 505 S JOHN REDDITT DR
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City | LUFKIN
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State | TX
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Zip | 75904-3120
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Country | US
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Telephone | 936-634-8311
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/DELEGATED OFFICIAL
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Name | PAULA M LALOR
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Credential |
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Telephone | 629-215-3953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 000481
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License Number State | TX
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