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General NPI Number Information
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NPI Number | 1114242344
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Entity Type | Organization
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Legal Business Name | COMMIT CARE EMS LLC
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 4625 FM 2920 RD
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City | SPRING
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State | TX
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Zip | 77388-3106
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Country | US
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Telephone | 281-745-2426
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Fax |
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Provider Business Mailing Address
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Address Line | 4625 FM 2920 RD
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City | SPRING
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State | TX
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Zip | 77388-3106
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Country | US
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Telephone | 281-745-2426
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Fax |
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Authorized Official
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Title or Position | INSURANCE BILLER
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Name | MRS. AVERIL BROUSSARD
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Credential |
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Telephone | 832-704-4050
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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 | 1000390
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1000390
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License Number State | TX
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