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General NPI Number Information
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NPI Number | 1508880253
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Entity Type | Organization
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Legal Business Name | CITY OF BOWIE
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 203 WALNUT ST
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City | BOWIE
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State | TX
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Zip | 76230-4840
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Country | US
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Telephone | 940-872-2122
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Fax | 940-872-6544
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Provider Business Mailing Address
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Address Line | 304 LINDSEY ST
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City | BOWIE
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State | TX
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Zip | 76230-4912
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Country | US
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Telephone | 940-872-2122
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Fax | 940-872-6544
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Authorized Official
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Title or Position | EMS ADMINISTRATOR
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Name | DOUGLAS PAGE
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Credential |
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Telephone | 940-872-2122
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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 | 169006
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License Number State | TX
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