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General NPI Number Information
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NPI Number | 1548475643
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Entity Type | Organization
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Legal Business Name | VALLEY BAPTIST MEDICAL CENTER
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 4405 GLASSCOCK AVE
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City | HARLINGEN
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State | TX
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Zip | 78550-9209
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Country | US
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Telephone | 956-389-2450
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Fax | 956-389-2434
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Provider Business Mailing Address
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Address Line | P.O. DRAWER 2588 4405 GLASSCOCK AVE
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City | HARLINGEN
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State | TX
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Zip | 78551-2588
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Country | US
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Telephone | 956-389-2450
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Fax | 956-389-2434
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Authorized Official
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Title or Position | MANAGER
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Name | DR. STEPHEN ERIC GRAYSON
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Credential | PHARMD
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Telephone | 956-389-2451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number | 16640
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License Number State | TX
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