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NPI 1982671491

NPI 1982671491 : BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION : AMARILLO, TX

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General NPI Number Information
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    NPI Number           |    1982671491
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    Entity Type          |    Organization 
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    Legal Business Name  |    BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION 
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Dates
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    Enumeration Date     |    03/02/2006
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    Last Update Date     |    10/28/2011
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Provider Practice Location Address
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    Address Line         |    1600 WALLACE BLVD 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79106-1799
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    Country              |    US
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    Telephone            |    806-212-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1600 WALLACE BLVD 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79106-1799
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    Country              |    US
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    Telephone            |    806-212-2000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |    MR. BRIAN  WALTON 
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    Credential           |    CPA
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    Telephone            |    806-212-5170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA1903X
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    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
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    License Number       |    000001
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    000001
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    License Number State |    TX
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