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General NPI Number Information
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NPI Number | 1518012293
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Entity Type | Organization
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Legal Business Name | MOTLEY COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1224 MAIN
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City | MATADOR
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State | TX
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Zip | 79244-0009
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Country | US
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Telephone | 806-347-2808
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | MATADOR
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State | TX
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Zip | 79244-0009
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Country | US
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Telephone | 806-347-2808
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, MOTLEY COUNTY AMBULANCE S
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Name | MR. TONY K ROSE
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Credential | EMT-I
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Telephone | 806-347-2808
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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 | 173001
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License Number State | TX
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