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General NPI Number Information
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NPI Number | 1508857020
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Entity Type | Organization
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Legal Business Name | FRIO COUNTY EMS
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 500 E SAN ANTONIO ST #5
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City | PEARSALL
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State | TX
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Zip | 78061-3145
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Country | US
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Telephone | 830-334-3201
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Fax | 830-334-0025
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Provider Business Mailing Address
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Address Line | 500 E SAN ANTONIO ST #5
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City | PEARSALL
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State | TX
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Zip | 78061-3145
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Country | US
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Telephone | 830-334-3201
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Fax | 830-334-0025
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Authorized Official
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Title or Position | EMS ADMINISTRATOR
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Name | WILLIAM H WOODWARD
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Credential | PARAMEDIC
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Telephone | 210-415-5588
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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 | 082002
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License Number State | TX
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