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General NPI Number Information
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NPI Number | 1083733463
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Entity Type | Organization
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Legal Business Name | FOREST BEND VOL FIRE DEPT
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 16615 HOPE VILLAGE RD
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-2395
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Country | US
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Telephone | 281-996-9206
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Fax | 281-996-6982
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Provider Business Mailing Address
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Address Line | PO BOX 691363
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City | HOUSTON
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State | TX
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Zip | 77269-1363
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Country | US
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Telephone | 281-397-0397
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Fax | 281-397-0007
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Authorized Official
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Title or Position | ACCOUNT REPRESENTATIVE
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Name | KAREN P LAAKE
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Credential |
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Telephone | 281-397-0397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 300138
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License Number State | TX
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