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General NPI Number Information
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NPI Number | 1750339339
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Entity Type | Organization
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Legal Business Name | SOUTH PLAINS PUBLIC HEALTH DISTRICT
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 415 MUSTANG DR
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City | DENVER CITY
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State | TX
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Zip | 79323-2749
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Country | US
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Telephone | 806-592-2706
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Fax |
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Provider Business Mailing Address
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Address Line | 415 MUSTANG DR P.O. BOX 315
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City | DENVER CITY
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State | TX
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Zip | 79323-2749
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Country | US
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Telephone | 806-592-2706
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MORRIS SALEM KNOX
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Credential | M.D.
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Telephone | 806-592-2706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | C7676
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License Number State | TX
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