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General NPI Number Information
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NPI Number | 1912195850
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Entity Type | Organization
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Legal Business Name | DAWSON COUNTY SENIOR CITIZENS CENTER INC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 609 N AUSTIN AVE
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City | LAMESA
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State | TX
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Zip | 79331-4531
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Country | US
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Telephone | 806-872-3324
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Fax | 806-872-2065
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Provider Business Mailing Address
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Address Line | PO BOX 241
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City | LAMESA
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State | TX
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Zip | 79331-0241
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Country | US
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Telephone | 806-872-3324
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Fax | 806-872-2065
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. CORA BROWN
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Credential |
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Telephone | 806-872-3324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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