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General NPI Number Information
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NPI Number | 1881463156
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Entity Type | Organization
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Legal Business Name | PARKER COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 201 WILLIAMS WARD RD
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City | SPRINGTOWN
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State | TX
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Zip | 76082-6028
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Country | US
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Telephone | 817-755-5116
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Fax |
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Provider Business Mailing Address
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Address Line | 201 WILLIAMS WARD RD
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City | SPRINGTOWN
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State | TX
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Zip | 76082-6028
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Country | US
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Telephone | 817-755-5116
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RANDY BACUS
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Credential |
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Telephone | 817-341-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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