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General NPI Number Information
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NPI Number | 1396896429
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Entity Type | Organization
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Legal Business Name | KING COUNTY EMS, INC.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 800 S BAKER STREET
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City | GUTHRIE
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State | TX
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Zip | 79236-0111
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Country | US
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Telephone | 806-596-4111
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Fax | 806-596-4044
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Provider Business Mailing Address
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Address Line | P.O. BOX 111 800 S BAKER STREET
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City | GUTHRIE
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State | TX
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Zip | 79236-0111
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Country | US
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Telephone | 806-596-4111
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Fax | 806-596-4044
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Authorized Official
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Title or Position | CO-DIRECTOR
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Name | PAT BRADBURY
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Credential | EMT-B
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Telephone | 806-596-4111
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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 | 135002
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License Number State | TX
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