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General NPI Number Information
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NPI Number | 1316165962
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Entity Type | Organization
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Legal Business Name | VILLAGE OF SURFSIDE BEACH TEXAS
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 1304 MONUMENT DR
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City | SURFSIDE BCH
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State | TX
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Zip | 77541-9522
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Country | US
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Telephone | 979-239-1151
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Fax | 979-373-0699
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Provider Business Mailing Address
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Address Line | P.O. 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 | POLICE CHIEF
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Name | GARY W PHILLIPS
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Credential |
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Telephone | 979-239-1151
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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 | 800108
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License Number State | TX
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