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General NPI Number Information
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NPI Number | 1639015118
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Entity Type | Organization
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Legal Business Name | TH HEALTHCARE, LTD
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 707 WOODS ST
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4411
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Country | US
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Telephone | 936-568-8488
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Fax |
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Provider Business Mailing Address
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Address Line | 1204 N MOUND ST
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4027
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Country | US
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Telephone | 936-568-8488
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | RANDY SLACK
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Credential |
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Telephone | 936-568-3103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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