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General NPI Number Information
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NPI Number | 1235150889
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Entity Type | Organization
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Legal Business Name | RENDON VOLUNTEER FIRE DEPARTMENT
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 12330 RENDON RD
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City | BURLESON
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State | TX
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Zip | 76028-3010
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Country | US
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Telephone | 817-478-0221
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Fax | 817-561-9503
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Provider Business Mailing Address
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Address Line | PO BOX 495548
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City | GARLAND
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State | TX
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Zip | 75049-5548
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Country | US
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Telephone | 214-340-2650
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Fax | 214-503-7135
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Authorized Official
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Title or Position | ASSISTANT CHIEF
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Name | MR. JOHN WATSON
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Credential |
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Telephone | 817-516-5051
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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 | 220007
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License Number State | TX
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