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General NPI Number Information
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NPI Number | 1205859998
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Entity Type | Organization
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Legal Business Name | LONESTAR EMERGENCY MEDICAL SERVICES
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 1900 N WASHINGTON AVE
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City | LIVINGSTON
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State | TX
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Zip | 77351-2105
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Country | US
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Telephone | 936-327-9024
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Fax | 936-327-8367
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Provider Business Mailing Address
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Address Line | PO BOX 1799
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City | LIVINGSTON
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State | TX
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Zip | 77351-1799
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Country | US
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Telephone | 936-327-9024
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Fax | 936-327-8367
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. CHRISTOPHER DALTON COLLIER
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Credential | EMT
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Telephone | 936-327-9024
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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 | 300653
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License Number State | TX
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