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General NPI Number Information
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NPI Number | 1043434962
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Entity Type | Organization
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Legal Business Name | MEDICINE-ON-THE-GO EMS-S-INCORPORATED
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10919 FAIRCROFT DR
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City | HOUSTON
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State | TX
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Zip | 77048-1828
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Country | US
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Telephone | 409-382-0702
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 739
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City | HEMPSTEAD
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State | TX
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Zip | 77445-0739
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Country | US
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Telephone | 409-382-0702
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ANGELA CONLEY
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Credential |
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Telephone | 409-382-0702
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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 | 800096
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License Number State | TX
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