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General NPI Number Information
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NPI Number | 1598083321
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Entity Type | Organization
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Legal Business Name | LIFERITE EMS INC
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 8626 HUMBLE WESTFIELD RD
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City | HUMBLE
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State | TX
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Zip | 77338-4588
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Country | US
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Telephone | 832-881-2668
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 570323
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City | HOUSTON
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State | TX
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Zip | 77257-0323
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Country | US
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Telephone | 832-881-2668
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Fax | 877-310-0729
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Authorized Official
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Title or Position | CEO
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Name | GAVIN I NWOKEJI
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Credential |
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Telephone | 832-881-2668
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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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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1000427
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License Number State | TX
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