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General NPI Number Information
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NPI Number | 1598274359
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Entity Type | Organization
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Legal Business Name | BOOKER HOSPITAL DISTRICT
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Dates
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Enumeration Date | 09/25/2017
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Last Update Date | 09/25/2017
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Provider Practice Location Address
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Address Line | 214 S MAIN ST
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City | BOOKER
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State | TX
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Zip | 79005-6030
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Country | US
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Telephone | 806-650-2366
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 429
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City | BOOKER
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State | TX
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Zip | 79005-0429
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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 | CHIEF
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Name | JONATHAN SELL
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Credential |
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Telephone | 806-202-2656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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