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General NPI Number Information
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NPI Number | 1255527354
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Entity Type | Organization
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Legal Business Name | MANE ENTERPRISES, LLC
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 11929 W AIRPORT BLVD SUITE 100
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City | STAFFORD
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State | TX
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Zip | 77477-2451
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Country | US
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Telephone | 281-840-9940
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Fax | 866-835-6560
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Provider Business Mailing Address
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Address Line | 18514 HEADLAND DR
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City | CYPRESS
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State | TX
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Zip | 77433-1192
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Country | US
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Telephone | 281-330-9914
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Fax | 866-835-6560
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Authorized Official
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Title or Position | DIRECTOR OF EMS
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Name | NATHAN H. EYE
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Credential | LIC-P
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Telephone | 281-330-9914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1000062
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License Number State | TX
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