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General NPI Number Information
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NPI Number | 1700314366
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Entity Type | Organization
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Legal Business Name | HILL COUNTRY MEMORIAL COMMUNITY SERVICES CORPORATION
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 05/26/2017
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Provider Practice Location Address
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Address Line | 1031 S STATE HIGHWAY 16
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4472
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Country | US
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Telephone | 830-992-2820
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 835
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-0835
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ELIZABETH WARRINER
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Credential |
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Telephone | 830-990-6631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | NULL
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