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General NPI Number Information
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NPI Number | 1437429271
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Entity Type | Organization
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Legal Business Name | A-1 OMEGA EMS INC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 9898 BISSONNET ST SUITE 598 I
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City | HOUSTON
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State | TX
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Zip | 77036-8270
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Country | US
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Telephone | 713-343-4261
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Fax | 832-328-9313
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Provider Business Mailing Address
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Address Line | 9898 BISSONNET ST SUITE 598 I
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City | HOUSTON
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State | TX
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Zip | 77036-8270
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Country | US
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Telephone | 713-343-4261
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Fax | 832-328-9313
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Authorized Official
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Title or Position | CEO
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Name | PRINCE PAUL AGBONLAHOR
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Credential | P.A.
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Telephone | 713-363-4261
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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 | 1000743
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License Number State | TX
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