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General NPI Number Information
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NPI Number | 1114319332
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Entity Type | Organization
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Legal Business Name | VILLA AMBULANCE SERVICES LLC
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Dates
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Enumeration Date | 02/25/2015
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 1819 SAN EDUARDO AVE
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City | LAREDO
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State | TX
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Zip | 78040-3854
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Country | US
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Telephone | 956-568-2916
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Fax | 956-441-0177
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Provider Business Mailing Address
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Address Line | 1819 SAN EDUARDO
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City | LAREDO
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State | TX
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Zip | 78040-3854
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Country | US
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Telephone | 956-568-2916
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Fax | 956-441-0177
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Authorized Official
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Title or Position | OWNER
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Name | MR. BALDOMERO BONDOC
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Credential |
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Telephone | 956-568-2916
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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 | 1000603
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License Number State | TX
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