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General NPI Number Information
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NPI Number | 1336588698
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Entity Type | Organization
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Legal Business Name | CODE 3 MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 4002 BURKE RD
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City | PASADENA
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State | TX
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Zip | 77504-3451
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Country | US
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Telephone | 855-454-3392
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Fax | 281-741-7881
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Provider Business Mailing Address
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Address Line | 15255 GULF FWY STE 185B
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City | HOUSTON
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State | TX
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Zip | 77034-5365
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Country | US
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Telephone | 855-454-3392
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Fax | 281-741-7881
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Authorized Official
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Title or Position | CEO/LIFEWATCH EMS
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Name | ALEX GIOVANNI AMORETTI
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Credential | EMT-P
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Telephone | 713-829-1556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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