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General NPI Number Information
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NPI Number | 1255320099
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Entity Type | Organization
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Legal Business Name | ST JOHNS EMS LLC
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 9630 HOLLOCK ST
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City | HOUSTON
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State | TX
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Zip | 77075-1806
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Country | US
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Telephone | 713-838-2273
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Fax | 713-838-7088
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Provider Business Mailing Address
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Address Line | 9630 HOLLOCK ST
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City | HOUSTON
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State | TX
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Zip | 77075-1806
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Country | US
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Telephone | 713-838-2273
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Fax | 713-838-7088
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANACONI RODRIGUEZ
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Credential |
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Telephone | 713-838-2273
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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 | 300237
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License Number State | TX
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