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NPI 1639684988

NPI 1639684988 : CITY OF SAINT JO : SAINT JO, TX

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General NPI Number Information
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    NPI Number           |    1639684988
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF SAINT JO 
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Dates
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    Enumeration Date     |    12/08/2017
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    Last Update Date     |    12/22/2025
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Provider Practice Location Address
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    Address Line         |    100 S LINE 
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    City                 |    SAINT JO
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    State                |    TX
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    Zip                  |    76265
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    Country              |    US
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    Telephone            |    940-995-2587
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    Fax                  |    800-353-2196
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Provider Business Mailing Address
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    Address Line         |    PO BOX 610562 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75261-0562
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    Country              |    US
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    Telephone            |    972-602-2060
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    Fax                  |    800-353-2196
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Authorized Official
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    Title or Position    |    FIRE CHIEF
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    Name                 |     COLTON SCOTT THOMAS 
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    Credential           |    
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    Telephone            |    940-634-1328
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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       |    169002
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    License Number State |    TX
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