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General NPI Number Information
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NPI Number | 1164675856
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Entity Type | Organization
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Legal Business Name | FIRST CLASS AMBULANCE SERVICES
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 620 E FREMONT ST APT 4
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City | LAREDO
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State | TX
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Zip | 78040-3977
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Country | US
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Telephone | 956-220-9842
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Fax |
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Provider Business Mailing Address
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Address Line | 620 E FREMONT ST APT 4
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City | LAREDO
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State | TX
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Zip | 78040-3977
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Country | US
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Telephone | 956-220-9842
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BRENDA ELVIRA PENA
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Credential |
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Telephone | 956-220-9842
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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 |
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License Number State |
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