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General NPI Number Information
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NPI Number | 1558350751
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Entity Type | Organization
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Legal Business Name | SEMINOLE HOSPITAL DISTRICT OF GAINES COUNTY TEXAS
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 212 NW 10TH ST
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City | SEMINOLE
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State | TX
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Zip | 79360-3447
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Country | US
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Telephone | 432-758-4877
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Fax | 432-758-4880
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Provider Business Mailing Address
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Address Line | 212 NW 10TH ST
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City | SEMINOLE
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State | TX
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Zip | 79360-3317
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Country | US
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Telephone | 432-758-4885
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Fax | 432-758-4880
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Authorized Official
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Title or Position | CFO
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Name | DEAN E OTEY
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Credential |
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Telephone | 432-758-4945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 5332
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License Number State | TX
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