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General NPI Number Information
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NPI Number | 1528461811
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Entity Type | Organization
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Legal Business Name | COUNTY OF LA SALLE
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 247 MARS DR
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City | COTULLA
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State | TX
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Zip | 78014-3186
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Country | US
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Telephone | 512-966-4244
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Fax | 830-483-5110
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Provider Business Mailing Address
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Address Line | PO BOX 580
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City | COTULLA
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State | TX
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Zip | 78014-0580
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Country | US
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Telephone | 512-966-4244
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Fax | 830-483-5110
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | DONALD A SMITH
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Credential |
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Telephone | 512-966-4244
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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 | 1000934
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License Number State | TX
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