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General NPI Number Information
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NPI Number | 1174985972
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Entity Type | Organization
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Legal Business Name | ALAMO CITY EMS AND TRANSPORTATION LLC
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 10/26/2018
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Provider Practice Location Address
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Address Line | 9939 FREDERICKSBURG RD APT 1202
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City | SAN ANTONIO
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State | TX
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Zip | 78240-4154
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Country | US
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Telephone | 210-803-9368
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Fax |
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Provider Business Mailing Address
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Address Line | 11114 AUBURN WOODS
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3392
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Country | US
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Telephone | 210-803-9368
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIO F. PICASO
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Credential | EMT/CCT
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Telephone | 210-803-9368
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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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