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General NPI Number Information
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NPI Number | 1659394617
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Entity Type | Organization
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Legal Business Name | SAN ANGELO HOSPITAL LP
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 01/05/2018
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Provider Practice Location Address
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Address Line | 3501 KNICKERBOCKER RD
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City | SAN ANGELO
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State | TX
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Zip | 76904-7610
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Country | US
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Telephone | 325-949-9511
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Fax | 325-947-6550
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Provider Business Mailing Address
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Address Line | PO BOX 849051
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City | DALLAS
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State | TX
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Zip | 75284-9051
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Country | US
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Telephone | 325-949-9511
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Fax | 325-947-6550
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Authorized Official
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Title or Position | DIRECTOR/DELEGATED OFFICIAL
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Name | PAULA LALOR
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Credential |
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Telephone | 615-925-4565
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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 | 000056
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License Number State | TX
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