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General NPI Number Information
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NPI Number | 1598164881
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Entity Type | Organization
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Legal Business Name | PALO PINTO COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 6621 DAN DANCIGER RD
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City | FORT WORTH
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State | TX
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Zip | 76133-4905
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Country | US
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Telephone | 817-292-6330
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Fax | 817-346-7980
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Provider Business Mailing Address
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Address Line | 6621 DAN DANCIGER RD
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City | FORT WORTH
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State | TX
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Zip | 76133-4905
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Country | US
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Telephone | 817-292-6330
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Fax | 817-346-7980
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Authorized Official
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Title or Position | CFO
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Name | DOUGLAS P SELSOR
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Credential |
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Telephone | 940-328-6401
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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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