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General NPI Number Information
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NPI Number | 1811122534
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Entity Type | Organization
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Legal Business Name | GUADALUPE COUNTY HOSPITAL BOARD
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 501 W AUSTIN ST
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City | LULING
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State | TX
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Zip | 78648-1741
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Country | US
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Telephone | 830-875-5628
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Fax | 830-875-5302
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Provider Business Mailing Address
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Address Line | 501 W AUSTIN ST
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City | LULING
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State | TX
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Zip | 78648-1741
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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 | CEO
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Name | KODY GANN
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Credential |
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Telephone | 830-401-7720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 130255
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License Number State | TX
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