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General NPI Number Information
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NPI Number | 1144948688
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Entity Type | Organization
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Legal Business Name | HOT SHOT MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 20 OAKRIDGE LN
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City | FORT WORTH
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State | TX
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Zip | 76134-1048
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Country | US
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Telephone | 682-283-8704
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Fax | 817-294-9677
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Provider Business Mailing Address
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Address Line | PO BOX 60390
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City | FORT WORTH
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State | TX
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Zip | 76115-6390
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Country | US
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Telephone | 682-283-8704
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Fax | 682-418-4968
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | VERA STRIDER
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Credential |
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Telephone | 682-283-8704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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