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General NPI Number Information
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NPI Number | 1417056425
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Entity Type | Organization
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Legal Business Name | A & D AMBULANCE
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 14610 SHADEWOOD CT
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City | HOUSTON
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State | TX
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Zip | 77015-1763
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Country | US
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Telephone | 713-373-6351
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Fax | 713-637-8646
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Provider Business Mailing Address
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Address Line | 14610 SHADEWOOD CT
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City | HOUSTON
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State | TX
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Zip | 77015-1763
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Country | US
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Telephone | 713-373-6351
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Fax | 713-637-8646
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Authorized Official
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Title or Position | OWNER
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Name | ALTON FISHER
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Credential |
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Telephone | 713-373-6351
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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 | 800094
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License Number State | TX
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