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General NPI Number Information
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NPI Number | 1235377417
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Entity Type | Organization
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Legal Business Name | AMAZING GRACE EMS, INC
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 05/26/2013
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Provider Practice Location Address
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Address Line | 8633 W AIRPORT BLVD STE 1026
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City | HOUSTON
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State | TX
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Zip | 77071-2479
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Country | US
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Telephone | 832-880-8689
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Fax | 888-399-3556
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Provider Business Mailing Address
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Address Line | 8633 W AIRPORT BLVD STE 1026
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City | HOUSTON
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State | TX
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Zip | 77071-2479
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Country | US
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Telephone | 832-880-8689
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Fax | 888-399-3556
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JOYCE WHITE
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Credential |
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Telephone | 832-880-8689
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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 | 1000893
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License Number State | TX
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