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General NPI Number Information
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NPI Number | 1578693487
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Entity Type | Organization
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Legal Business Name | CITY OF WYLIE
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1401 S BALLARD AVE
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City | WYLIE
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State | TX
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Zip | 75098-4889
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Country | US
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Telephone | 972-897-7537
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Fax | 972-442-8113
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Provider Business Mailing Address
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Address Line | 2000 N HWY 78
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City | WYLIE
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State | TX
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Zip | 75098
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Country | US
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Telephone | 972-429-8157
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Fax | 281-397-0007
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CASEY ALLEN NASH
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Credential |
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Telephone | 972-897-7537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 300262
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License Number State | TX
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Taxonomy #2
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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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