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General NPI Number Information
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NPI Number | 1356121610
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Entity Type | Organization
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Legal Business Name | CONCAN VOLUNTEER FIRE DEPARTMENT CORPORATION
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 1 MARIPOSA
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City | CONCAN
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State | TX
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Zip | 78838
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Country | US
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Telephone | 830-834-5009
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 266
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City | CONCAN
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State | TX
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Zip | 78838-0266
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | JUSTIN WILLS
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Credential |
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Telephone | 830-261-0742
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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 |
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License Number State |
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Taxonomy #2
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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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