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General NPI Number Information
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NPI Number | 1215783261
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Entity Type | Organization
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Legal Business Name | MEDICAL LIFE LINE LLC
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Dates
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Enumeration Date | 04/29/2024
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 1880 S DAIRY ASHFORD RD STE 207
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City | HOUSTON
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State | TX
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Zip | 77077-4759
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Country | US
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Telephone | 346-229-1092
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Fax | 346-205-0327
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Provider Business Mailing Address
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Address Line | 1502 EDGE VIEW LN
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City | MISSOURI CITY
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State | TX
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Zip | 77459-1884
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Country | US
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Telephone | 832-922-0184
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VERNELL CALDWELL
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Credential |
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Telephone | 832-922-0184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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