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General NPI Number Information
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NPI Number | 1144520545
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Entity Type | Organization
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Legal Business Name | SANDRA DANIELS
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 202 W DALLAS ST
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City | HUTCHINS
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State | TX
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Zip | 75141-3021
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Country | US
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Telephone | 469-245-2978
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Fax | 214-722-1827
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Provider Business Mailing Address
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Address Line | 202 W DALLAS ST
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City | HUTCHINS
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State | TX
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Zip | 75141-3021
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Country | US
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Telephone | 469-245-2978
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Fax | 214-722-1827
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Authorized Official
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Title or Position | OWNER
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Name | SANDRA DANIELS
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Credential |
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Telephone | 469-245-2978
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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 | 1000460
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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 | 1000460
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License Number State | TX
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