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General NPI Number Information
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NPI Number | 1063614253
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Entity Type | Organization
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Legal Business Name | AMERICARE EMS LLC
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 10/31/2013
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Provider Practice Location Address
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Address Line | 1303 S 1ST ST
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City | LUFKIN
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State | TX
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Zip | 75901-4717
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Country | US
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Telephone | 936-699-2764
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 154037
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City | LUFKIN
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State | TX
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Zip | 75915-4037
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Country | US
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Telephone | 936-699-2764
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. KRISTI MCCULLOUGH
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Credential |
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Telephone | 936-699-2764
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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 | 1000017
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License Number State | TX
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