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General NPI Number Information
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NPI Number | 1295997567
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Entity Type | Organization
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Legal Business Name | FLEET AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 10415 PERRIN BEITEL RD STE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78217-3110
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Country | US
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Telephone | 210-530-4044
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Fax | 210-530-8234
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Provider Business Mailing Address
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Address Line | 10415 PERRIN BEITEL RD STE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78217-3110
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Country | US
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Telephone | 210-530-4044
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Fax | 210-530-8234
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Authorized Official
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Title or Position | DIRECTOR
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Name | ORLANDO OMAR GARCIA MOYA
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Credential |
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Telephone | 210-530-4044
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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 | 1000143
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License Number State | TX
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