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General NPI Number Information
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NPI Number | 1578458923
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Entity Type | Organization
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Legal Business Name | BSA HARRINGTON PHYSICIANS, INC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1751 WALLACE BLVD STE B
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City | AMARILLO
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State | TX
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Zip | 79106-1711
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Country | US
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Telephone | 806-212-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 1751 WALLACE BLVD
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City | AMARILLO
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State | TX
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Zip | 79106-1711
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Country | US
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Telephone | 806-212-1944
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Fax |
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Authorized Official
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Title or Position | EVP GENERAL COUNSEL
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Name | STEPHEN C. PETROVICH
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Credential |
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Telephone | 615-296-3594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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