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General NPI Number Information
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NPI Number | 1528058724
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Entity Type | Organization
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Legal Business Name | KAM SYD LTD
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 3103 N HIGHWAY 146
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City | BAYTOWN
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State | TX
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Zip | 77520-2669
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Country | US
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Telephone | 281-422-7200
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Fax | 281-422-1999
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Provider Business Mailing Address
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Address Line | PO BOX 119
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City | BAYTOWN
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State | TX
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Zip | 77522-0119
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Country | US
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Telephone | 281-422-7200
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Fax | 281-422-1999
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHARLES H BRYAN III
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Credential |
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Telephone | 281-422-7200
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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 | 101254
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License Number State | TX
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