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General NPI Number Information
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NPI Number | 1588809255
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Entity Type | Organization
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Legal Business Name | SACRED CROSS EMS
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 2341 N MASCH BRANCH RD
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City | DENTON
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State | TX
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Zip | 76207-3291
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Country | US
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Telephone | 877-602-2060
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Fax | 903-887-1863
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Provider Business Mailing Address
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Address Line | PO BOX 447
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City | KRUM
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State | TX
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Zip | 76249-0447
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Country | US
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Telephone | 877-602-2060
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Fax | 903-887-1863
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Authorized Official
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Title or Position | OWNER
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Name | BRANDON SHEPARD
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Credential |
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Telephone | 877-602-2060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1000188
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License Number State | TX
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