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General NPI Number Information
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NPI Number | 1396006102
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Entity Type | Organization
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Legal Business Name | GOLDEN CRESCENT REGIONAL PLANNING COMMISSION
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 4902 JOHN STOCKBAUER DR
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City | VICTORIA
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State | TX
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Zip | 77904-1931
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Country | US
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Telephone | 361-578-8775
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Fax | 361-580-3206
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Provider Business Mailing Address
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Address Line | 120 S MAIN ST SUITE 210
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City | VICTORIA
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State | TX
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Zip | 77901-8147
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Country | US
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Telephone | 361-578-1587
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Fax | 361-578-8865
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JOE BRANNAN
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Credential |
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Telephone | 361-578-1587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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