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General NPI Number Information
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NPI Number | 1326314220
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Entity Type | Organization
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Legal Business Name | BLANKET EMS, LLC
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 03/26/2012
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Provider Practice Location Address
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Address Line | 2948 STATE HIGHWAY 19
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City | HUNTSVILLE
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State | TX
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Zip | 77320-0450
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Country | US
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Telephone | 936-295-6500
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Fax | 936-295-6504
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Provider Business Mailing Address
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Address Line | PO BOX 8809
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City | HUNTSVILLE
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State | TX
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Zip | 77340-0014
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Country | US
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Telephone | 936-295-6500
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Fax | 936-295-6504
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROBERTO NUNEZ
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Credential |
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Telephone | 936-295-6500
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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 | 1000778
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License Number State | TX
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