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General NPI Number Information
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NPI Number | 1346588613
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Entity Type | Organization
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Legal Business Name | LONE STAR EXECUTIVE LIMOUSINE, LLC
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 1 FINANCIAL PLZ SUITE 425
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City | HUNTSVILLE
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State | TX
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Zip | 77340-3513
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Country | US
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Telephone | 832-585-7338
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Fax | 832-730-1897
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Provider Business Mailing Address
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Address Line | PO BOX 7036
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City | THE WOODLANDS
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State | TX
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Zip | 77387-7036
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Country | US
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Telephone | 832-585-7338
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Fax | 832-730-1897
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Authorized Official
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Title or Position | OWNER/GENERAL MANAGER
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Name | MR. JASON L SMITH
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Credential |
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Telephone | 832-585-7338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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