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General NPI Number Information
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NPI Number | 1255339347
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Entity Type | Organization
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Legal Business Name | CITY OF EARTH
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 202 EAST MAIN
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City | EARTH
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State | TX
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Zip | 79031-0010
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Country | US
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Telephone | 806-257-3415
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 10
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City | EARTH
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State | TX
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Zip | 79031-0010
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Country | US
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Telephone | 806-257-2111
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Fax | 806-257-2245
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Authorized Official
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Title or Position | MAYOR
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Name | MR. J. ALLEN GOVER
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Credential |
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Telephone | 806-257-2111
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 140006
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License Number State | TX
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