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General NPI Number Information
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NPI Number | 1831423961
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Entity Type | Organization
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Legal Business Name | COLLEGE STATION RHC COMPANY LLC
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 10/23/2009
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Provider Practice Location Address
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Address Line | 235 W PALM ST SUITE 106
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City | BELLVILLE
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State | TX
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Zip | 77418-1372
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Country | US
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Telephone | 979-865-8681
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Fax |
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Provider Business Mailing Address
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Address Line | 600 N PARK ST
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City | BRENHAM
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State | TX
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Zip | 77833-2610
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Country | US
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Telephone | 979-836-6153
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DEBBIE BREWER
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Credential |
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Telephone | 615-465-7626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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