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General NPI Number Information
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NPI Number | 1275155699
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Entity Type | Organization
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Legal Business Name | 1ST RESPONSE LLC
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Dates
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Enumeration Date | 05/07/2020
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 5408 E LOOP 250 N UNIT B
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City | MIDLAND
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State | TX
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Zip | 79705-9319
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Country | US
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Telephone | 432-234-5372
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Fax | 806-209-0057
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Provider Business Mailing Address
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Address Line | 5408 E LOOP 250 N UNIT B
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City | MIDLAND
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State | TX
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Zip | 79705-9319
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Country | US
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Telephone | 432-234-5372
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Fax | 806-209-0057
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Authorized Official
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Title or Position | OWNER
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Name | CODY ELDER
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Credential | AEMT
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Telephone | 432-234-5372
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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 |
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License Number State |
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