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General NPI Number Information
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NPI Number | 1679578439
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Entity Type | Organization
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Legal Business Name | MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 800 E DAWSON ST
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City | TYLER
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State | TX
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Zip | 75701-2036
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Country | US
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Telephone | 903-593-8441
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Fax | 903-531-5097
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Provider Business Mailing Address
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Address Line | 800 E DAWSON ST
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City | TYLER
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State | TX
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Zip | 75701-2036
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Country | US
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Telephone | 903-593-8441
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Fax | 903-606-1201
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Authorized Official
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Title or Position | CMO
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Name | DR. STEVEN KEUER
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Credential | MD
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Telephone | 903-606-4051
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 000286
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License Number State | TX
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