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General NPI Number Information
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NPI Number | 1366700965
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Entity Type | Organization
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Legal Business Name | AGAPE AMBULANCE SERVICES INC
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 16518 HOUSE HAHL RD SUITE B10
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City | CYPRESS
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State | TX
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Zip | 77433-1901
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Country | US
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Telephone | 281-305-9037
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Fax | 888-355-4116
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Provider Business Mailing Address
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Address Line | 17515 SPRING CYPRESS RD SUITE C264
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City | CYPRESS
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State | TX
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Zip | 77429-2688
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Country | US
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Telephone | 281-305-9037
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Fax | 888-355-4116
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Authorized Official
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Title or Position | OWNER
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Name | LATASHA H LEWIS
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Credential |
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Telephone | 281-305-9037
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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 | 1000816
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License Number State | TX
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