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General NPI Number Information
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NPI Number | 1508743113
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Entity Type | Organization
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Legal Business Name | PRIME HEALTHCARE SERVICES PAMPA LLC
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 503 W 1ST ST STE A
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City | BORGER
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State | TX
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Zip | 79007-4001
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Country | US
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Telephone | 806-591-2270
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Fax | 806-669-1491
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Provider Business Mailing Address
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Address Line | 503 W 1ST ST STE A
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City | BORGER
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State | TX
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Zip | 79007-4001
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Country | US
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Telephone | 806-591-2270
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Fax | 806-669-1491
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Authorized Official
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Title or Position | MANAGING ASSOCIATE GENERAL COUNSEL
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Name | CHRISTOPHER DOAN
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Credential |
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Telephone | 310-259-4706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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