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General NPI Number Information
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NPI Number | 1396444931
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Entity Type | Organization
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Legal Business Name | TAMBAILLC
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 7149 VAN TUYL PKWY APT 20207
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City | MCKINNEY
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State | TX
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Zip | 75070-1255
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Country | US
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Telephone | 347-866-5850
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Fax |
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Provider Business Mailing Address
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Address Line | 7149 VAN TUYL PKWY APT 20207
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City | MCKINNEY
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State | TX
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Zip | 75070-1255
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Country | US
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Telephone | 347-866-5850
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EGERTON MENDS
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Credential |
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Telephone | 347-866-5850
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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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