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General NPI Number Information
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NPI Number | 1053092155
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Entity Type | Organization
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Legal Business Name | ECLIPSE AMBULANCE SERVICE
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 9421 W STERLING DR
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City | PEARLAND
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State | TX
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Zip | 77584-8558
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Country | US
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Telephone | 281-416-5380
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Fax |
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Provider Business Mailing Address
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Address Line | 9421 W STERLING DR
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City | PEARLAND
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State | TX
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Zip | 77584-8558
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Country | US
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Telephone | 281-416-5380
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FELICIA DRAKE
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Credential |
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Telephone | 281-846-6161
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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 |
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License Number State |
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