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General NPI Number Information
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NPI Number | 1457057291
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Entity Type | Organization
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Legal Business Name | WEST VALLEY EMS, LLC
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 4522 E HIGHWAY 83 STE B
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City | ROMA
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State | TX
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Zip | 78584-6242
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Country | US
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Telephone | 956-353-6288
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3004
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City | ROMA
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State | TX
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Zip | 78584-3004
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Country | US
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Telephone | 956-844-6749
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LUIS A SANDOVAL JR.
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Credential | PRESIDENT
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Telephone | 956-844-6749
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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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