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General NPI Number Information
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NPI Number | 1871839902
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Entity Type | Organization
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Legal Business Name | MIDLAND COMMUNITY HEALTHCARE SERVICES
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 5001 ANDREWS HWY STE 1090
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City | MIDLAND
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State | TX
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Zip | 79703-4522
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Country | US
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Telephone | 432-570-0238
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Fax |
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Provider Business Mailing Address
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Address Line | 600 N MARIENFELD ST SUITE 1090
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City | MIDLAND
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State | TX
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Zip | 79701-4395
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL AUSTIN
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Credential |
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Telephone | 432-570-0238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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