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General NPI Number Information
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NPI Number | 1588183057
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Entity Type | Organization
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Legal Business Name | RURAL ECONOMIC ASSISTANCE LEAGUE, INC.
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 301 LUCERO STREET
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City | ALICE
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State | TX
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Zip | 78332
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Country | US
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Telephone | 361-668-3158
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Fax | 361-664-9695
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Provider Business Mailing Address
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Address Line | 301 LUCERO ST
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City | ALICE
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State | TX
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Zip | 78332-5848
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Country | US
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Telephone | 361-668-3158
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Fax | 361-664-9695
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS GLORIA RAMOS
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Credential | R.N.
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Telephone | 361-668-3158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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