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General NPI Number Information
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NPI Number | 1184644098
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Entity Type | Organization
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Legal Business Name | CLEAR LAKE EMERGENCY MEDICAL CORPS
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 951 FM 646 RD E STE B1
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City | DICKINSON
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State | TX
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Zip | 77539-2106
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Country | US
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Telephone | 281-204-7794
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Fax | 832-932-1576
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Provider Business Mailing Address
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Address Line | 951 FM 646 RD E STE B1
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City | LEAGUE CITY
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State | TX
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Zip | 77573-2223
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Country | US
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Telephone | 281-204-7794
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | ROY HUNTER
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Credential |
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Telephone | 281-204-7794
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 101019
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License Number State | TX
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