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General NPI Number Information
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NPI Number | 1346305828
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Entity Type | Organization
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Legal Business Name | CITY OF JACKSONVILLE
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 911 S BOLTON ST
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City | JACKSONVILLE
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State | TX
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Zip | 75766-2905
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Country | US
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Telephone | 903-586-7131
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Fax | 800-353-2196
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Provider Business Mailing Address
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Address Line | 911 S BOLTON ST
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City | JACKSONVILLE
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State | TX
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Zip | 75766-2905
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Country | US
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Telephone | 903-586-7131
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Fax | 800-353-2196
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | ROXANNA BRILEY
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Credential |
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Telephone | 903-339-3317
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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 | 037001
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License Number State | TX
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