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General NPI Number Information
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NPI Number | 1568915437
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Entity Type | Organization
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Legal Business Name | HOOD PONY EXPRESS
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 33219 E BORDER OAK CT
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City | MAGNOLIA
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State | TX
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Zip | 77354-6109
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Country | US
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Telephone | 281-788-5329
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Fax | 281-252-0294
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Provider Business Mailing Address
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Address Line | 33219 E BORDER OAK CT
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City | MAGNOLIA
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State | TX
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Zip | 77354-6109
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Country | US
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Telephone | 281-788-5329
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Fax | 281-252-0294
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Authorized Official
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Title or Position | OWNER
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Name | JUAN TASHUND HOOD SR.
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Credential |
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Telephone | 281-788-5329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | TX
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