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General NPI Number Information
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NPI Number | 1003107764
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Entity Type | Organization
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Legal Business Name | CHOICE AID EMS LLC
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 4434 BLUEBONNET DR STE 136
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City | STAFFORD
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State | TX
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Zip | 77477-2904
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Country | US
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Telephone | 832-755-9111
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Fax | 281-806-5977
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Provider Business Mailing Address
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Address Line | PO BOX 740572
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City | HOUSTON
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State | TX
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Zip | 77274-0572
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Country | US
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Telephone | 832-755-9111
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Fax | 281-806-5977
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Authorized Official
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Title or Position | OWNER
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Name | ABDELLATIF SOUHAIL
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Credential | EMT-B
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Telephone | 832-755-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State | TX
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