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General NPI Number Information
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NPI Number | 1982417473
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Entity Type | Organization
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Legal Business Name | DORFCORP LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 5500 KELL BLVD STE 100
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City | WICHITA FALLS
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State | TX
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Zip | 76310-1612
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Country | US
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Telephone | 940-264-2273
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Fax | 940-264-7379
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Provider Business Mailing Address
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Address Line | 4813 SAWMILL LN
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City | WICHITA FALLS
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State | TX
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Zip | 76308-1536
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Country | US
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Telephone | 940-257-8388
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GIDGETT BATES
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Credential |
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Telephone | 940-257-8388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health 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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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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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