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General NPI Number Information
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NPI Number | 1821009242
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Entity Type | Organization
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Legal Business Name | ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 1301 WONDER WORLD DR
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City | SAN MARCOS
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State | TX
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Zip | 78666-7533
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Country | US
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Telephone | 512-753-3505
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Fax | 512-753-8979
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Provider Business Mailing Address
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Address Line | PO BOX 6427
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City | FORT WORTH
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State | TX
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Zip | 76115-0427
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Country | US
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Telephone | 512-753-3505
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Fax | 512-753-8979
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Authorized Official
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Title or Position | CFO
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Name | JESSE SUTTON
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Credential |
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Telephone | 512-753-3505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 000556
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 000556
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License Number State | TX
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