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General NPI Number Information
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NPI Number | 1780655670
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Entity Type | Organization
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Legal Business Name | HOSPITAL OF BARSTOW INC
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 820 E MOUNTAIN VIEW ST
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City | BARSTOW
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State | CA
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Zip | 92311-3004
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Country | US
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Telephone | 760-256-1761
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Fax | 760-957-3048
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Provider Business Mailing Address
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Address Line | PO BOX 844809
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City | DALLAS
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State | TX
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Zip | 75284-4809
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SVP FINANCE OPERATIONS/AO
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Name | RANDY MICHAEL COOPER
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Credential |
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Telephone | 615-221-3840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 240000110
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License Number State | CA
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