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General NPI Number Information
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NPI Number | 1629303755
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Entity Type | Organization
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Legal Business Name | PATRIOT EXPRESS LLC
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 10/07/2009
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Provider Practice Location Address
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Address Line | 15444 TRADESMAN
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City | SAN ANTONIO
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State | TX
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Zip | 78249-1319
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Country | US
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Telephone | 210-314-8682
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Fax | 210-277-0882
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Provider Business Mailing Address
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Address Line | 15444 TRADESMAN
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City | SAN ANTONIO
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State | TX
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Zip | 78249-1319
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Country | US
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Telephone | 210-314-8682
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Fax | 210-277-0882
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BILL WAYNE MILLER
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Credential |
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Telephone | 210-213-3997
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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 | 1000317
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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 | 1000317
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License Number State | TX
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