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General NPI Number Information
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NPI Number | 1598213274
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Entity Type | Organization
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Legal Business Name | ROUNDTRIP MEDICAL
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 1820 E GRIFFIN PKWY
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City | MISSION
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State | TX
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Zip | 78572-3027
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Country | US
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Telephone | 956-777-2788
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 COLORADO AVE
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City | MCALLEN
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State | TX
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Zip | 78504-6431
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Country | US
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Telephone | 956-777-2788
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA HIRAM MALDONADO
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Credential |
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Telephone | 956-777-2788
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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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