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General NPI Number Information
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NPI Number | 1710037031
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Entity Type | Organization
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Legal Business Name | BETTY BIVINS CHILDERS FOUNDATION
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6600 KILGORE DRIVE
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City | AMARILLO
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State | TX
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Zip | 79106
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Country | US
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Telephone | 806-350-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 6600 KILGORE DRIVE
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City | AMARILLO
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State | TX
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Zip | 79106
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Country | US
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Telephone | 806-350-2200
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH SERVICES
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Name | TYLER S. KENDALL
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Credential | LNFA
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Telephone | 806-350-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | TX
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