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General NPI Number Information
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NPI Number | 1154464147
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Entity Type | Organization
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Legal Business Name | PALM VALLEY EMS LLC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4311 N. 10TH ST STE G5
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City | MCALLEN
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State | TX
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Zip | 78504
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Country | US
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Telephone | 956-686-6463
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Fax | 956-968-4404
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Provider Business Mailing Address
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Address Line | 613 N. 43RD ST
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City | MCALLEN
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State | TX
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Zip | 78501-8144
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Country | US
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Telephone | 956-631-9429
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DANIEL GUSTAVO ZEPEDA
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Credential |
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Telephone | 956-631-9429
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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 | 800149
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License Number State | TX
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