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General NPI Number Information
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NPI Number | 1447721717
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Entity Type | Organization
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Legal Business Name | PANTEX PLANT FIRE DEPARTMENT
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | US HIGHWAY 60 AND FM2373
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City | AMARILLO
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State | TX
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Zip | 79120-0020
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Country | US
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Telephone | 806-477-7268
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30020
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City | AMARILLO
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State | TX
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Zip | 79120-0020
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Country | US
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Telephone | 806-477-7268
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MIKE BROCK
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Credential |
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Telephone | 806-477-6511
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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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