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General NPI Number Information
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NPI Number | 1538369863
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Entity Type | Organization
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Legal Business Name | ELITE CRITICAL CARE EMS, L.L.C.
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 2101 WEST PALMA VISTA DRIVE
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City | MISSION
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State | TX
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Zip | 78572
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Country | US
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Telephone | 956-584-2867
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Fax | 956-584-2870
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Provider Business Mailing Address
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Address Line | PO BOX 1410
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City | LA JOYA
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State | TX
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Zip | 78560-1410
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Country | US
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Telephone | 956-584-2867
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Fax | 956-584-2870
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Authorized Official
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Title or Position | CEO/CO OWNER
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Name | MR. DAVID R VILLARREAL
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Credential | LICENCED PARAMEDIC
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Telephone | 956-212-8103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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