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General NPI Number Information
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NPI Number | 1588757900
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Entity Type | Organization
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Legal Business Name | PAUL HESTER & WANDA HESTER PTR
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 501 POPLAR ST
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City | MARKS
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State | MS
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Zip | 38646-1340
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Country | US
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Telephone | 662-326-8415
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Fax | 662-326-2801
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Provider Business Mailing Address
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Address Line | PO BOX 191
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City | MARKS
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State | MS
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Zip | 38646-0191
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Country | US
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Telephone | 662-326-8415
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Fax | 662-326-2801
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. PAUL T HESTER SR.
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Credential | EMTB
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Telephone | 662-326-8415
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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 | 3416L0300X
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License Number State | MS
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