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General NPI Number Information
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NPI Number | 1366760258
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Entity Type | Organization
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Legal Business Name | ADVANCE CARE EMS INC
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 1710 S DAIRY ASHFORD ST SUITE 108
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City | HOUSTON
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State | TX
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Zip | 77077-3853
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Country | US
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Telephone | 281-679-6840
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Fax | 281-679-6842
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Provider Business Mailing Address
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Address Line | 1710 S DAIRY ASHFORD ST SUITE 108
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City | HOUSTON
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State | TX
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Zip | 77077-3853
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Country | US
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Telephone | 281-679-6840
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Fax | 281-679-6842
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Authorized Official
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Title or Position | CEO
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Name | AHMED BOMBATA
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Credential |
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Telephone | 281-679-6840
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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 | 1000440
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License Number State | TX
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