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General NPI Number Information
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NPI Number | 1023091345
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Entity Type | Organization
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Legal Business Name | CITY OF LORENZO
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 703 5TH
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City | LORENZO
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State | TX
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Zip | 79343-0430
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Country | US
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Telephone | 806-634-5596
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Fax | 806-634-5597
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Provider Business Mailing Address
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Address Line | 8300 BISSONNET ST STE 205
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City | HOUSTON
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State | TX
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Zip | 77074-3900
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Country | US
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Telephone | 713-773-4355
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Fax | 713-773-4363
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JAMES LIVELY
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Credential |
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Telephone | 806-634-5596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 054004
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License Number State | TX
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