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General NPI Number Information
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NPI Number | 1508926569
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Entity Type | Organization
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Legal Business Name | ESHNA INC.
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 202 E JEFFERSON AVE
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City | WHITNEY
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State | TX
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Zip | 76692-2398
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Country | US
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Telephone | 254-694-2221
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Fax | 254-694-9978
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Provider Business Mailing Address
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Address Line | 202 E JEFFERSON AVE
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City | WHITNEY
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State | TX
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Zip | 76692-2398
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Country | US
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Telephone | 254-694-2221
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Fax | 254-694-9978
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | LINDA J HALL
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Credential |
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Telephone | 254-694-2221
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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 | TX
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