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General NPI Number Information
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NPI Number | 1407960180
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Entity Type | Organization
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Legal Business Name | CITIZENS EMERGENCY MEDICAL SERVICE INC.
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 911 S 1ST ST W UNIT A
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City | CLYDE
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State | TX
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Zip | 79510-4035
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Country | US
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Telephone | 325-893-5754
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Fax | 325-893-4127
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Provider Business Mailing Address
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Address Line | PO BOX 1556
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City | CLYDE
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State | TX
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Zip | 79510-1556
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Country | US
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Telephone | 325-893-5754
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Fax | 325-893-4127
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. VICTOR EUGENE HUDMAN II
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Credential | MD
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Telephone | 325-893-1074
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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 | 030001
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License Number State | TX
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