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General NPI Number Information
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NPI Number | 1578379582
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Entity Type | Organization
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Legal Business Name | BEXAR COUNTY EMERGENCY SERVICES DISTRICT NO 4
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 26217 RALPH FAIR RD
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City | BOERNE
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State | TX
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Zip | 78015-2272
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Country | US
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Telephone | 210-698-1593
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Fax |
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Provider Business Mailing Address
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Address Line | 26217 RALPH FAIR RD
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City | BOERNE
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State | TX
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Zip | 78015-2272
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Country | US
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Telephone | 210-698-1593
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Fax |
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Authorized Official
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Title or Position | DIVISION CHIEF
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Name | SCOTT DUANE BURGESS
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Credential |
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Telephone | 210-698-1593
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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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