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General NPI Number Information
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NPI Number | 1023012432
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Entity Type | Organization
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Legal Business Name | CITY OF TEXLINE
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 519 S 2ND ST
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City | TEXLINE
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State | TX
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Zip | 79087
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Country | US
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Telephone | 806-333-4809
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Fax | 806-362-4226
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Provider Business Mailing Address
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Address Line | PO BOX 144
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City | TEXLINE
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State | TX
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Zip | 79087-0144
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Country | US
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Telephone | 806-336-8321
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Fax | 806-362-4226
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Authorized Official
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Title or Position | MANAGER OF CREDENTIALING SERVICES
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Name | TASHA COULTER
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Credential |
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Telephone | 806-336-8321
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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 | 056002
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License Number State | TX
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