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NPI 1194728402

NPI 1194728402 : CITY OF GRAND PRAIRIE : GRAND PRAIRIE, TX

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General NPI Number Information
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    NPI Number           |    1194728402
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF GRAND PRAIRIE 
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Dates
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    Enumeration Date     |    05/31/2005
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    Last Update Date     |    10/28/2024
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Provider Practice Location Address
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    Address Line         |    1525 ARKANSAS LN 
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    City                 |    GRAND PRAIRIE
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    State                |    TX
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    Zip                  |    75052-7401
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    Country              |    US
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    Telephone            |    972-237-8300
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    Fax                  |    972-237-8309
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Provider Business Mailing Address
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    Address Line         |    1525 ARKANSAS LN 
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    City                 |    GRAND PRAIRIE
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    State                |    TX
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    Zip                  |    75052-7401
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    Country              |    US
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    Telephone            |    972-237-8300
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    Fax                  |    972-237-8309
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Authorized Official
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    Title or Position    |    COMPLIANCE OFFICER
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    Name                 |     ERIKA V SOTO 
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    Credential           |    
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    Telephone            |    972-237-8388
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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       |    300276
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    License Number State |    TX
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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       |    
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    License Number State |    
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