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General NPI Number Information
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NPI Number | 1366548992
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Entity Type | Organization
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Legal Business Name | PECAN PLANTATION VOLUNTEER FIRE DEPT & EMERGENCY MEDICAL SVCS, INC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 9518 MONTICELLO DR
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City | GRANBURY
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State | TX
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Zip | 76049-4508
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Country | US
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Telephone | 817-573-1643
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Fax | 817-579-6888
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Provider Business Mailing Address
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Address Line | 9518 MONTICELLO DR
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City | GRANBURY
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State | TX
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Zip | 76049-4508
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Country | US
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Telephone | 817-573-1643
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Fax | 817-579-6888
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JAMES S GREIF
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Credential |
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Telephone | 817-573-1643
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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 | 111004
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License Number State | TX
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