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General NPI Number Information
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NPI Number | 1518363845
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Entity Type | Organization
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Legal Business Name | SOUTH PLAINS HEALTHCARE, INC.
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 4413 82ND ST SUITE 135
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City | LUBBOCK
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State | TX
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Zip | 79424-3384
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Country | US
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Telephone | 806-747-9484
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Fax | 806-747-9497
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Provider Business Mailing Address
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Address Line | 4413 82ND ST SUITE 135
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City | LUBBOCK
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State | TX
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Zip | 79424-3384
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Country | US
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Telephone | 806-747-9484
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Fax | 806-747-9497
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Authorized Official
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Title or Position | SECRETARY
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Name | AMBER L TUELLER
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Credential |
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Telephone | 208-207-2726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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