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General NPI Number Information
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NPI Number | 1750692760
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Entity Type | Organization
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Legal Business Name | BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 101-A LAFFERTY AVE
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City | CAMERON
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State | TX
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Zip | 76520-3685
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Country | US
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Telephone | 254-605-1150
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Fax | 254-605-1155
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Provider Business Mailing Address
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Address Line | PO BOX 847670
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City | DALLAS
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State | TX
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Zip | 75284-5765
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Country | US
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Telephone | 254-605-1150
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Fax | 254-605-1155
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAMMY COHEN
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Credential |
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Telephone | 214-865-3669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29828
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License Number State | TX
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