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General NPI Number Information
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NPI Number | 1063415974
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Entity Type | Organization
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Legal Business Name | CITY OF LA PORTE
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 10428 SPENCER HIGHWAY
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City | LA PORTE
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State | TX
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Zip | 77571-6215
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Country | US
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Telephone | 281-470-0051
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Fax | 800-353-2196
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Provider Business Mailing Address
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Address Line | PO BOX 180446
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City | DALLAS
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State | TX
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Zip | 75218-0446
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Country | US
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Telephone | 972-602-2060
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Fax | 800-353-2196
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Authorized Official
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Title or Position | EMS CHIEF
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Name | SHAWN M KOMINEK
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Credential |
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Telephone | 281-470-0051
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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 | 101077
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License Number State | TX
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