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General NPI Number Information
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NPI Number | 1194709063
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Entity Type | Organization
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Legal Business Name | FALLS COUNTY EMS, INC.
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 08/02/2010
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Provider Practice Location Address
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Address Line | 403 BRIDGE ST
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City | MARLIN
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State | TX
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Zip | 76661-2702
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Country | US
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Telephone | 254-883-5445
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Fax | 254-803-2420
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Provider Business Mailing Address
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Address Line | PO BOX 111
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City | MARLIN
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State | TX
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Zip | 76661-0111
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Country | US
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Telephone | 254-883-5445
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Fax | 254-803-2420
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. JIM LYONS I
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Credential | EMT I
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Telephone | 254-883-5445
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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 | 073008
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 073008
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License Number State | TX
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