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General NPI Number Information
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NPI Number | 1669698882
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Entity Type | Organization
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Legal Business Name | KINGSVILLE MEDICAL CENTER, PA
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 227 W KLEBERG AVE
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City | KINGSVILLE
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State | TX
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Zip | 78363-4427
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Country | US
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Telephone | 361-592-6451
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Fax | 361-595-4545
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Provider Business Mailing Address
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Address Line | 227 W KLEBERG AVE
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City | KINGSVILLE
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State | TX
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Zip | 78363-4427
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Country | US
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Telephone | 361-592-6451
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Fax | 361-595-4545
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | DR. JEROME K. HEMMERT
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Credential | M.D.
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Telephone | 361-592-6451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | H3070
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License Number State | TX
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