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General NPI Number Information
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NPI Number | 1831975572
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Entity Type | Organization
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Legal Business Name | DECATUR HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 609 MEDICAL CENTER DR
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City | DECATUR
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State | TX
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Zip | 76234-3836
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Country | US
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Telephone | 940-627-5921
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Fax | 940-393-0561
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Provider Business Mailing Address
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Address Line | 609 MEDICAL CENTER DR
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City | DECATUR
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State | TX
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Zip | 76234-3836
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Country | US
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Telephone | 940-627-5921
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Fax | 940-393-0561
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Authorized Official
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Title or Position | DIVISION CFO
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Name | KRISTIN DYER
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Credential |
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Telephone | 972-401-8770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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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 | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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