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NPI 1568323475

NPI 1568323475 : EDDIN 11 INC. : LA PORTE, TX

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General NPI Number Information
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    NPI Number           |    1568323475
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    Entity Type          |    Organization 
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    Legal Business Name  |    EDDIN 11 INC. 
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Dates
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    Enumeration Date     |    11/20/2025
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    Last Update Date     |    11/20/2025
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Provider Practice Location Address
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    Address Line         |    3848 REDBUD DR 
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    City                 |    LA PORTE
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    State                |    TX
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    Zip                  |    77571-4318
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    Country              |    US
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    Telephone            |    281-730-9800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3848 REDBUD DR 
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    City                 |    LA PORTE
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    State                |    TX
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    Zip                  |    77571-4318
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    Country              |    US
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    Telephone            |    281-730-9800
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BANA  ALYAMEN 
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    Credential           |    
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    Telephone            |    281-730-9800
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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       |    
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    License Number State |    
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