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General NPI Number Information
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NPI Number | 1710926928
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Entity Type | Organization
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Legal Business Name | TEXAS COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 1422 S SAM HOUSTON BLVD
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City | HOUSTON
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State | MO
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Zip | 65483-2130
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Country | US
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Telephone | 417-967-1252
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Fax | 417-967-0417
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Provider Business Mailing Address
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Address Line | 1422 S SAM HOUSTON BLVD
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City | HOUSTON
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State | MO
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Zip | 65483-2130
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Country | US
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Telephone | 417-967-1252
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Fax | 417-967-0417
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Authorized Official
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Title or Position | CFO
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Name | LINDA J PAMPERIEN
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Credential |
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Telephone | 417-967-1255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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