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General NPI Number Information
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NPI Number | 1508996950
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Entity Type | Organization
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Legal Business Name | CITY OF CLEVELAND
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 207 E BOOTHE
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City | CLEVELAND
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State | TX
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Zip | 77327
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Country | US
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Telephone | 281-592-8044
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Fax | 281-659-0448
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Provider Business Mailing Address
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Address Line | PO BOX 691363
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City | HOUSTON
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State | TX
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Zip | 77269-1363
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Country | US
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Telephone | 281-397-0397
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Fax | 281-397-6934
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Authorized Official
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Title or Position | BILLING AGENT
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Name | KAREN P LAAKE
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Credential |
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Telephone | 281-397-0397
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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 | 146010
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License Number State | TX
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