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General NPI Number Information
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NPI Number | 1619014719
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Entity Type | Organization
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Legal Business Name | NORTH BOSQUE VOLUNTEER EMS INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 200 EAST MORGAN
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City | MERIDIAN
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State | TX
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Zip | 76665-0119
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Country | US
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Telephone | 254-435-2070
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Fax | 254-435-2560
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Provider Business Mailing Address
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Address Line | PO BOX 119
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City | MERIDIAN
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State | TX
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Zip | 76665-0119
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Country | US
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Telephone | 254-435-2070
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Fax | 254-435-2560
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LINDA M. THIELE
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Credential | EMTP
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Telephone | 254-435-2070
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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 | 018007
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License Number State | TX
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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 | 018007
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License Number State | TX
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