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NPI 1164818803

NPI 1164818803 : CAVALRY EMS LLC : MERCEDES, TX

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General NPI Number Information
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    NPI Number           |    1164818803
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAVALRY EMS LLC 
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Dates
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    Enumeration Date     |    04/09/2015
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    203 N DACOTA AVE 
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    City                 |    MERCEDES
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    State                |    TX
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    Zip                  |    78570-0379
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    Country              |    US
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    Telephone            |    956-854-4287
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    Fax                  |    956-854-4269
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Provider Business Mailing Address
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    Address Line         |    203 N DACOTA AVE 
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    City                 |    MERCEDES
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    State                |    TX
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    Zip                  |    78570-0379
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    Country              |    US
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    Telephone            |    956-854-4287
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    Fax                  |    956-854-4269
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. RICHARD P TORRES 
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    Credential           |    PARAMEDIC
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    Telephone            |    965-854-4287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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    Taxonomy Code        |    343800000X
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    Taxonomy Name        |    Secured 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        |    347E00000X
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    Taxonomy Name        |    Transportation Broker
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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        |    341600000X
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    Taxonomy Name        |    Ambulance
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    License Number       |    1000942
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    License Number State |    TX
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