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General NPI Number Information
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NPI Number | 1245636448
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Entity Type | Organization
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Legal Business Name | HOPE EXPRESS
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Dates
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Enumeration Date | 11/15/2014
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Last Update Date | 11/15/2014
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Provider Practice Location Address
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Address Line | 2771 E BROAD ST # 217-128
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City | MANSFIELD
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State | TX
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Zip | 76063-9156
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Country | US
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Telephone | 682-888-7388
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Fax | 214-988-1648
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Provider Business Mailing Address
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Address Line | 2771 E BROAD ST # 217-128
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City | MANSFIELD
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State | TX
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Zip | 76063-9156
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Country | US
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Telephone | 682-888-7388
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Fax | 214-988-1648
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Authorized Official
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Title or Position | CEO
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Name | MR. DUSTIN PAUL MCDONALD
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Credential |
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Telephone | 682-888-7710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number |
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License Number State |
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