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General NPI Number Information
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NPI Number | 1720096019
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Entity Type | Organization
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Legal Business Name | COUNTY OF WARD
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 02/20/2009
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Provider Practice Location Address
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Address Line | 406 S GARY ST
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City | MONAHANS
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State | TX
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Zip | 79756-4799
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Country | US
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Telephone | 432-943-2511
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Fax | 432-943-6833
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | MONAHANS
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State | TX
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Zip | 79756
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Country | US
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Telephone | 432-943-2511
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Fax | 432-943-6833
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Authorized Official
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Title or Position | BOARD CHAIRMAN
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Name | MR. JOHN S. FAUSETT
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Credential |
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Telephone | 432-943-4892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 000468
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License Number State | TX
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