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General NPI Number Information
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NPI Number | 1598047318
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Entity Type | Organization
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Legal Business Name | THE RURAL HEALTHCARE CENTER, LLC
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Dates
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Enumeration Date | 09/19/2011
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Last Update Date | 09/19/2011
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Provider Practice Location Address
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Address Line | 108 E. HANNA
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City | CALVERT
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State | TX
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Zip | 77837
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Country | US
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Telephone | 281-620-5262
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Fax |
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Provider Business Mailing Address
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Address Line | 14011 PARK DR SUITE 218
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City | TOMBALL
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State | TX
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Zip | 77377-6292
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Country | US
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Telephone | 281-620-5262
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JOHN SEWELL CROLEY
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Credential |
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Telephone | 281-620-5262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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