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General NPI Number Information
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NPI Number | 1174778765
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Entity Type | Organization
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Legal Business Name | MEDZONE EMS
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 426 SAINT ANDREWS DR
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City | ALLEN
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State | TX
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Zip | 75002-5330
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Country | US
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Telephone | 469-656-1859
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Fax |
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Provider Business Mailing Address
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Address Line | 426 ST ANDREWS DRIVE
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City | ALLEN
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State | TX
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Zip | 75002
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Country | US
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Telephone | 469-656-1859
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. DESIREE V DELGADO
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Credential |
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Telephone | 469-656-1859
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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 | 800210
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License Number State | TX
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