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General NPI Number Information
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NPI Number | 1669472387
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Entity Type | Organization
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Legal Business Name | BAYLOR ALL SAINTS MEDICAL CENTER
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1400 8TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-4110
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Country | US
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Telephone | 817-922-1535
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Fax | 817-927-6226
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Provider Business Mailing Address
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Address Line | PO BOX 848108
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City | DALLAS
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State | TX
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Zip | 75284-8108
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Country | US
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Telephone | 214-820-3151
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Fax | 214-820-8515
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Authorized Official
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Title or Position | CFO
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Name | LUCINDA CATALA
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Credential |
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Telephone | 817-922-1957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 000363
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License Number State | TX
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