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General NPI Number Information
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NPI Number | 1174683080
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Entity Type | Organization
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Legal Business Name | CITY OF PLAINS
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 1015 AVE F
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City | PLAINS
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State | TX
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Zip | 79355-0550
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Country | US
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Telephone | 806-487-6730
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Fax | 806-487-6714
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | PLAINS
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State | TX
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Zip | 79355-0550
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Country | US
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Telephone | 806-487-6730
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Fax | 806-487-6714
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Authorized Official
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Title or Position | BILLING OFFICER
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Name | DANA JO LAMBERT
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Credential | EMTP
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Telephone | 806-487-6730
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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 | 251004
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License Number State | TX
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