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General NPI Number Information
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NPI Number | 1699614107
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Entity Type | Organization
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Legal Business Name | ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P, LLP
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 3201 HIGHWAY 71 E
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City | BASTROP
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State | TX
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Zip | 78602-5126
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Country | US
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Telephone | 512-816-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 HIGHWAY 71 E
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City | BASTROP
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State | TX
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Zip | 78602-5126
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Country | US
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Telephone | 512-816-2300
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SETH HERRICK
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Credential |
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Telephone | 512-816-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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