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General NPI Number Information
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NPI Number | 1962663740
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Entity Type | Organization
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Legal Business Name | CACTUS HEALTH SERVICES, INC
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 700 N MAIN ST
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City | FORT STOCKTON
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State | TX
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Zip | 79735-5626
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Country | US
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Telephone | 432-336-8110
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Fax | 432-336-8107
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Provider Business Mailing Address
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Address Line | 700 N MAIN ST
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City | FORT STOCKTON
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State | TX
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Zip | 79735-5626
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Country | US
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Telephone | 432-336-8110
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Fax | 432-336-8107
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Authorized Official
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Title or Position | CEO
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Name | RACHEL MECHELLE RODRIGUEZ
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Credential |
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Telephone | 432-336-8110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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