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General NPI Number Information
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NPI Number | 1720085731
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Entity Type | Organization
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Legal Business Name | WEST WHARTON COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 1213 N AVENUE B
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City | SHINER
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State | TX
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Zip | 77984-6217
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Country | US
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Telephone | 361-594-3353
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Fax | 361-594-2201
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Provider Business Mailing Address
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Address Line | 1213 N AVENUE B
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City | SHINER
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State | TX
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Zip | 77984-6217
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Country | US
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Telephone | 361-594-3353
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Fax | 361-594-2201
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Authorized Official
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Title or Position | CEO
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Name | DAVID H MAK
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Credential |
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Telephone | 979-543-6251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 111763
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License Number State | TX
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