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General NPI Number Information
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NPI Number | 1659593028
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Entity Type | Organization
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Legal Business Name | FALLS COMMUNITY HOSPITAL AND CLINIC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 200 N PEARL ST
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City | MART
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State | TX
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Zip | 76664-1142
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Country | US
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Telephone | 254-803-3561
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Fax | 254-883-6066
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Provider Business Mailing Address
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Address Line | PO BOX 60
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City | MARLIN
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State | TX
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Zip | 76661-0060
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Country | US
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Telephone | 254-803-3561
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Fax | 254-883-6066
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Authorized Official
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Title or Position | INTERIM ADMINISTRATOR
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Name | MRS. JESSICA FORD
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Credential |
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Telephone | 254-803-3561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | E0892
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License Number State | TX
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