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General NPI Number Information
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NPI Number | 1629871512
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Entity Type | Organization
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Legal Business Name | CITY OF FORT WORTH CONTROLLER
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 2900 ALTA MERE DR
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City | FORT WORTH
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State | TX
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Zip | 76116-4115
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Country | US
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Telephone | 817-392-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 100 FORT WORTH TRL
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City | FORT WORTH
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State | TX
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Zip | 76102-2780
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DEPUTY FINANCE DIRECTOR
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Name | ANTHONY ROUSSEAU
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Credential |
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Telephone | 817-392-8338
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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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