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General NPI Number Information
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NPI Number | 1528458924
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Entity Type | Organization
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Legal Business Name | SOUTH LIMESTONE HOSPITAL DISTRICT
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 401 E BLUE BELL RD
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City | BRENHAM
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State | TX
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Zip | 77833-2407
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Country | US
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Telephone | 979-836-6611
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Fax | 979-836-2256
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Provider Business Mailing Address
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Address Line | 401 E BLUE BELL RD
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City | BRENHAM
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State | TX
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Zip | 77833-2407
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Country | US
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Telephone | 979-836-6611
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Fax | 979-836-2256
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Authorized Official
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Title or Position | MANAGER
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Name | KENDALL A BROUSSARD
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Credential |
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Telephone | 337-439-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 136823
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License Number State | TX
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