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General NPI Number Information
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NPI Number | 1861498735
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Entity Type | Organization
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Legal Business Name | HENDRICK MEDICAL CENTER
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 1900 PINE ST
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City | ABILENE
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State | TX
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Zip | 79601-2432
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Country | US
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Telephone | 325-670-4038
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1198
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City | ABILENE
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State | TX
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Zip | 79604-1198
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Country | US
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Telephone | 325-670-4038
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEPHEN KIMMEL
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Credential |
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Telephone | 325-670-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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