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General NPI Number Information
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NPI Number | 1629072129
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Entity Type | Organization
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Legal Business Name | CITY OF IDALOU
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 914 FRONTAGE RD
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City | IDALOU
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State | TX
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Zip | 79329
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Country | US
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Telephone | 806-892-2531
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Fax | 806-892-3298
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Provider Business Mailing Address
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Address Line | PO BOX 1277
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City | IDALOU
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State | TX
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Zip | 79329-1277
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Country | US
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Telephone | 806-787-6764
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Fax | 806-892-3298
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Authorized Official
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Title or Position | BILLING MGR
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Name | APRIL COPELAND
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Credential | REG MA
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Telephone | 806-787-6764
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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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