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General NPI Number Information
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NPI Number | 1932355203
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Entity Type | Organization
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Legal Business Name | HILL COUNTRY INPATIENT ASSOCIATES, PA
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 04/18/2009
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Provider Practice Location Address
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Address Line | 551 HILL COUNTRY DR
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City | KERRVILLE
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State | TX
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Zip | 78028-6085
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Country | US
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Telephone | 830-258-7067
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Fax | 830-258-7268
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Provider Business Mailing Address
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Address Line | 551 HILL COUNTRY DR
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City | KERRVILLE
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State | TX
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Zip | 78028-6085
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Country | US
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Telephone | 830-258-7067
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Fax | 830-258-7268
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JACK L BERNARD
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Credential | M.D.
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Telephone | 830-258-7067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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