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General NPI Number Information
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NPI Number | 1568928505
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Entity Type | Organization
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Legal Business Name | CITY OF ENNIS
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 507 MARTIN LUTHER KING BLVD
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City | LUBBOCK
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State | TX
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Zip | 79403-5213
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Country | US
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Telephone | 806-744-1113
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Fax |
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Provider Business Mailing Address
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Address Line | 507 MARTIN LUTHER KING BLVD
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City | LUBBOCK
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State | TX
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Zip | 79403-5213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CITY MANAGER
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Name | MARTY W NELSON
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Credential |
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Telephone | 972-875-1234
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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 |
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License Number State |
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