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General NPI Number Information
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NPI Number | 1255683298
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Entity Type | Organization
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Legal Business Name | E-BELLA INC DBA BELLA CARE EMS SERVICES
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Dates
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Enumeration Date | 10/14/2012
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 7011 W PARMER LN APT 720
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City | AUSTIN
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State | TX
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Zip | 78729-6937
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Country | US
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Telephone | 801-835-3823
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Fax | 866-542-3790
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Provider Business Mailing Address
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Address Line | 7011 W PARMER LN APT 720
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City | AUSTIN
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State | TX
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Zip | 78729-6937
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Country | US
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Telephone | 801-835-3823
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Fax | 866-542-3790
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Authorized Official
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Title or Position | DIRECTOR
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Name | AMOS M EGWAIKHIDE
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Credential | ENGINEER
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Telephone | 801-835-3823
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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 | 1000780
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License Number State | TX
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