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General NPI Number Information
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NPI Number | 1457366569
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Entity Type | Organization
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Legal Business Name | CITY OF LAMARQUE
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 1109A BAYOU RD
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City | LA MARQUE
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State | TX
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Zip | 77568-4160
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Country | US
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Telephone | 409-938-9261
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Fax | 409-935-1113
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Provider Business Mailing Address
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Address Line | 1111 BAYOU RD
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City | LA MARQUE
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State | TX
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Zip | 77568-4160
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Country | US
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Telephone | 409-938-9260
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Fax | 409-935-1113
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Authorized Official
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Title or Position | AO
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Name | DAVID MERRYMAN
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Credential |
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Telephone | 832-250-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 800095
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License Number State | TX
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Taxonomy #2
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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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