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General NPI Number Information
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NPI Number | 1285602656
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Entity Type | Organization
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Legal Business Name | HIGH ISLAND MERCY CORPS INC
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 2144 7TH STREET
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City | HIGH ISLAND
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State | TX
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Zip | 77623
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Country | US
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Telephone | 409-286-5811
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Fax | 409-286-5424
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Provider Business Mailing Address
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Address Line | PO BOX 691363
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City | HOUSTON
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State | TX
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Zip | 77269-1363
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Country | US
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Telephone | 281-397-0397
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Fax | 281-397-6934
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ROBERT L ISAACKS JR.
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Credential |
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Telephone | 409-286-5811
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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 | TX
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