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General NPI Number Information
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NPI Number | 1487833620
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Entity Type | Organization
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Legal Business Name | COMMISSIONERS COURT OF MARTIN COUNTY
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 210 N. CONVENT
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City | STANTON
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State | TX
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Zip | 79782
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Country | US
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Telephone | 432-756-2791
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Fax | 432-756-2992
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Provider Business Mailing Address
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Address Line | PO BOX 1233
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City | STANTON
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State | TX
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Zip | 79782-1233
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Country | US
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Telephone | 432-756-2791
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Fax | 432-756-2992
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Authorized Official
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Title or Position | COUNTY JUDGE
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Name | CORKY BLOCKER
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Credential |
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Telephone | 432-756-2231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | 332U00000X
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License Number State | TX
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