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General NPI Number Information
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NPI Number | 1902180870
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Entity Type | Organization
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Legal Business Name | BOOKER HOSPITAL DISTRICT
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 214 SOUTH MAIN
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City | BOOKER
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State | TX
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Zip | 79005
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Country | US
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Telephone | 806-650-2366
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Fax | 806-650-2367
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Provider Business Mailing Address
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Address Line | PO BOX 429
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City | BOOKER
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State | TX
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Zip | 79005-0429
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Country | US
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Telephone | 806-650-2366
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Fax | 806-650-2367
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Authorized Official
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Title or Position | DIRECTOR
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Name | JONATHAN SELL
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Credential | EMT-P
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Telephone | 806-650-2366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1000575
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License Number State | TX
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