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General NPI Number Information
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NPI Number | 1962434860
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Entity Type | Organization
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Legal Business Name | NORTHWEST TEXAS HEALTHCARE SYSTEM, INC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 814 MARTIN RD
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City | AMARILLO
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State | TX
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Zip | 79107-6814
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Country | US
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Telephone | 806-468-4390
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Fax | 806-342-4789
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Provider Business Mailing Address
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Address Line | PO BOX 9633
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City | AMARILLO
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State | TX
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Zip | 79105-9633
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Country | US
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Telephone | 806-354-1000
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MARK A MIRACLE
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Credential | MBA
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Telephone | 806-468-4390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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