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General NPI Number Information
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NPI Number | 1528397924
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Entity Type | Organization
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Legal Business Name | WEST HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 501 MEADOW DR
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City | WEST
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State | TX
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Zip | 76691-1018
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Country | US
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Telephone | 254-826-7772
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Fax | 254-826-7773
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | WEST
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State | TX
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Zip | 76691-0099
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Country | US
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Telephone | 254-826-7000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JAY MALER
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Credential |
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Telephone | 254-855-2242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 128416
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License Number State | TX
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