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General NPI Number Information
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NPI Number | 1790740363
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Entity Type | Organization
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Legal Business Name | TEXAS COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 1333 S SAM HOUSTON BLVD
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City | HOUSTON
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State | MO
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Zip | 65483-2046
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Country | US
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Telephone | 417-967-3311
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Fax | 417-967-1234
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Provider Business Mailing Address
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Address Line | 1333 S SAM HOUSTON BLVD
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City | HOUSTON
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State | MO
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Zip | 65483
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Country | US
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Telephone | 417-967-3311
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Fax | 417-967-1234
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. LINDA J PAMPERIEN
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Credential |
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Telephone | 417-967-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 17248
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License Number State | MO
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