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General NPI Number Information
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NPI Number | 1154377265
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Entity Type | Organization
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Legal Business Name | JEWETT EMS INC.
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 512 W MEXIA HWY
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City | JEWETT
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State | TX
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Zip | 75846-3718
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Country | US
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Telephone | 936-396-2695
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Fax | 936-396-2849
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Provider Business Mailing Address
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Address Line | PO BOX 491
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City | JEWETT
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State | TX
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Zip | 75846-0491
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Country | US
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Telephone | 936-396-2965
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Fax | 936-396-2849
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. TERESA ATCHLEY
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Credential | PARAMEDIC
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Telephone | 936-396-2695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 517518
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License Number State | TX
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