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General NPI Number Information
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NPI Number | 1346737814
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Entity Type | Organization
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Legal Business Name | BLANCO COUNTY EMERGENCY SERVICES DISTRICT 2
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 431 BLANCO AVE
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City | BLANCO
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State | TX
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Zip | 78606-2037
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Country | US
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Telephone | 830-833-5239
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Fax | 830-833-1032
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Provider Business Mailing Address
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Address Line | PO BOX 972
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City | BLANCO
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State | TX
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Zip | 78606-0972
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Country | US
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Telephone | 830-833-5239
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Fax | 830-833-1032
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Authorized Official
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Title or Position | EMS CHIEF
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Name | BEN OAKLEY
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Credential | MPA, LP
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Telephone | 830-833-5239
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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 |
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License Number State |
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