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General NPI Number Information
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NPI Number | 1649267550
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Entity Type | Organization
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Legal Business Name | OLTON FAMILY HEALTHCARE
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 600 MAIN ST
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City | OLTON
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State | TX
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Zip | 79064-0508
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Country | US
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Telephone | 806-285-2209
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Fax | 806-285-2209
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Provider Business Mailing Address
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Address Line | PO BOX 508 600 MAIN STREET
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City | OLTON
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State | TX
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Zip | 79064-0508
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Country | US
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Telephone | 806-285-2209
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Fax | 806-285-2209
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Authorized Official
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Title or Position | CEO
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Name | MR. WILLIAM PAUL WHITE
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Credential |
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Telephone | 806-285-2209
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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 |
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License Number State |
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