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General NPI Number Information
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NPI Number | 1043517675
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Entity Type | Organization
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Legal Business Name | CLINICARE EMS INC
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Dates
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Enumeration Date | 02/16/2011
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 19207 E HIGHWAY 6
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City | ALVIN
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State | TX
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Zip | 77511-9561
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Country | US
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Telephone | 281-756-9900
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Fax | 713-271-3031
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Provider Business Mailing Address
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Address Line | 19207 E HIGHWAY 6
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City | ALVIN
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State | TX
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Zip | 77511-9561
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Country | US
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Telephone | 281-756-9900
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Fax | 713-271-3031
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. OLASUPO FATUBARO
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Credential |
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Telephone | 281-756-9900
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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 | 1000541
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License Number State | TX
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