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General NPI Number Information
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NPI Number | 1518225077
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Entity Type | Organization
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Legal Business Name | SOUTH WHEELER COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 1000 S MAIN ST
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City | SHAMROCK
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State | TX
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Zip | 79079-2820
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Country | US
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Telephone | 806-256-2114
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Fax | 806-256-2423
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Provider Business Mailing Address
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Address Line | PO BOX 511 1000 S MAIN
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City | SHAMROCK
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State | TX
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Zip | 79079-0511
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Country | US
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Telephone | 806-256-2114
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Fax | 806-256-2423
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Authorized Official
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Title or Position | AMBULANCE COORDINATOR
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Name | MR. DANNY WHITTINGTON
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Credential |
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Telephone | 806-256-5215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 242006
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License Number State | TX
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