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General NPI Number Information
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NPI Number | 1306138748
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Entity Type | Organization
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Legal Business Name | EMERGENCY ROOM MOBILE SERVICES, INC
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 1278 JUSTIN RD SUITE 109/B53
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City | LEWISVILLE
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State | TX
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Zip | 75077-2200
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Country | US
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Telephone | 972-741-5748
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 271153
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City | FLOWER MOUND
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State | TX
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Zip | 75027-1153
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Country | US
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Telephone | 972-741-5748
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN MARABLE JR.
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Credential |
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Telephone | 972-741-5748
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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 | 057110
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License Number State | TX
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