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General NPI Number Information
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NPI Number | 1548269111
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Entity Type | Organization
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Legal Business Name | HUNT MEMORIAL HOSPITAL DISTRICT
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 3900 JOE RAMSEY BLVD E BLDG 1
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City | GREENVILLE
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State | TX
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Zip | 75401-7727
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Country | US
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Telephone | 903-408-1950
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Fax | 903-408-1969
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Provider Business Mailing Address
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Address Line | 4001 RIDGECREST RD
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City | GREENVILLE
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State | TX
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Zip | 75402-6143
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Country | US
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Telephone | 903-408-1950
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Fax | 903-408-1969
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Authorized Official
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Title or Position | HOSPITAL CONTRACT AND CREDENTIALING
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Name | MS. CECELIA VALENTINE
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Credential | CRCS-I
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Telephone | 903-408-1142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 002557
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License Number State | TX
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