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General NPI Number Information
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NPI Number | 1689872020
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Entity Type | Organization
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Legal Business Name | GPCH, LLC
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 700 W BROADWAY ST
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City | FRITCH
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State | TX
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Zip | 79036-8754
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Country | US
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Telephone | 806-857-2311
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MEDICAL DR
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City | BORGER
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State | TX
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Zip | 79007-7579
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Country | US
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Telephone | 806-467-5701
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Fax | 806-467-5704
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Authorized Official
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Title or Position | CEO
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Name | DR. DONALD EARL BATES JR.
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Credential |
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Telephone | 806-467-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 008574
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License Number State | TX
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