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General NPI Number Information
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NPI Number | 1306840079
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Entity Type | Organization
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Legal Business Name | SAN SABA COUNTY EMERGENCY MEDICAL SERVICE INC
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 607 E COMMERCE ST
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City | SAN SABA
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State | TX
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Zip | 76877-4702
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Country | US
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Telephone | 325-372-6016
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Fax |
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Provider Business Mailing Address
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Address Line | 607 E WALLACE ST
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City | SAN SABA
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State | TX
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Zip | 76877-4702
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Country | US
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Telephone | 325-372-6016
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Fax | 325-372-3809
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | PATRICIA A PRATT
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Credential | LICENSED PARAMEDIC
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Telephone | 325-372-6016
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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 | 206002
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License Number State | TX
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