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General NPI Number Information
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NPI Number | 1851439137
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Entity Type | Organization
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Legal Business Name | TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 1512 PENNSYLVANIA AVENUE
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City | FORT WORTH
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State | TX
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Zip | 76104-2122
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Country | US
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Telephone | 817-820-0235
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Fax | 817-878-5250
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Provider Business Mailing Address
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Address Line | P.O. BOX 2526
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City | FORT WORTH
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State | TX
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Zip | 76113-2526
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Country | US
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Telephone | 817-820-0235
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Fax | 817-878-5250
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | MS. LILLIE BIGGINS
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Credential |
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Telephone | 817-250-3722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | MDF4504
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 000235
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License Number State | TX
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