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General NPI Number Information
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NPI Number | 1407883473
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Entity Type | Organization
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Legal Business Name | ST. MICHAEL'S AMBULANCE,LLC
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 401 W. U.S. BUS. 83
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City | MCALLEN
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State | TX
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Zip | 78501
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Country | US
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Telephone | 956-867-1871
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Fax | 956-664-9906
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Provider Business Mailing Address
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Address Line | 2207 JEWEL CIR
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City | EDINBURG
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State | TX
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Zip | 78539-6240
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Country | US
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Telephone | 956-867-1871
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Fax | 956-664-9906
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. SCOTT CASON ROGERS
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Credential | EMT-P
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Telephone | 956-867-1871
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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 |
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License Number State |
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