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General NPI Number Information
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NPI Number | 1114202405
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Entity Type | Organization
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Legal Business Name | CITY OF SOUTH PADRE ISLAND
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 106 W RETAMA ST
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City | SOUTH PADRE ISLAND
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State | TX
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Zip | 78597-7109
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Country | US
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Telephone | 956-761-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 PADRE BLVD
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City | SOUTH PADRE ISLAND
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State | TX
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Zip | 78597-7325
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Country | US
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Telephone | 956-761-3040
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Fax |
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Authorized Official
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Title or Position | EMS LIEUTENANT
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Name | EMILIO HINOJOSA
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Credential |
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Telephone | 956-761-3040
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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 | 1000718
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License Number State | TX
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