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General NPI Number Information
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NPI Number | 1609857408
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Entity Type | Organization
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Legal Business Name | LLANO COUNTY HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 216 E COLLEGE
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City | MASON
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State | TX
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Zip | 76856-1390
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Country | US
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Telephone | 325-347-5926
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Fax | 325-347-5331
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Provider Business Mailing Address
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Address Line | 200 W OLLIE ST
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City | LLANO
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State | TX
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Zip | 78643-2628
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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 | CEO
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Name | MR. KEVIN A LEEPER
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Credential |
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Telephone | 325-247-7868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 0000476
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License Number State | TX
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