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NPI 1801893417

NPI 1801893417 : SMITHVILLE HOSPITAL AUTHORITY : SMITHVILLE, TX

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General NPI Number Information
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    NPI Number           |    1801893417
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    Entity Type          |    Organization 
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    Legal Business Name  |    SMITHVILLE HOSPITAL AUTHORITY 
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Dates
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    Enumeration Date     |    06/29/2005
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    Last Update Date     |    11/12/2010
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Provider Practice Location Address
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    Address Line         |    800 E HIGHWAY 71 
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    City                 |    SMITHVILLE
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    State                |    TX
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    Zip                  |    78957-1730
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    Country              |    US
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    Telephone            |    512-237-3214
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    Fax                  |    512-237-5768
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Provider Business Mailing Address
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    Address Line         |    800 E HIGHWAY 71 
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    City                 |    SMITHVILLE
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    State                |    TX
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    Zip                  |    78957-1730
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    Country              |    US
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    Telephone            |    512-237-3214
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    Fax                  |    512-237-5768
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. GRADY  HOOPER 
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    Credential           |    
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    Telephone            |    512-237-3214
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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       |    000385
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    License Number State |    TX
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