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General NPI Number Information
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NPI Number | 1487770111
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Entity Type | Organization
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Legal Business Name | UVALDE COUNTY HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 2090 BANDERA HIGHWAY
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City | KERRVILLE
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State | TX
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Zip | 78028-6634
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Country | US
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Telephone | 830-257-9900
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Fax | 830-257-9901
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Provider Business Mailing Address
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Address Line | 1025 GARNER FIELD RD
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City | UVALDE
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State | TX
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Zip | 78801-4809
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Country | US
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Telephone | 830-279-8374
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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. THOMAS J NORDWICK
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Credential |
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Telephone | 830-279-8374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 102667
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License Number State | TX
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