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General NPI Number Information
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NPI Number | 1215593520
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Entity Type | Organization
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Legal Business Name | MYMEDIHEALTHCARE.COM LLC
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 16151 CAIRNWAY DR STE 106
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City | HOUSTON
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State | TX
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Zip | 77084-3554
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Country | US
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Telephone | 832-683-4472
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Fax | 832-436-1810
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Provider Business Mailing Address
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Address Line | 16151 CAIRNWAY DR STE 106
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City | HOUSTON
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State | TX
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Zip | 77084-3554
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Country | US
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Telephone | 832-683-4472
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Fax | 832-436-1810
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DONALD RAWLS
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Credential |
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Telephone | 832-683-4472
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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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Taxonomy #2
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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