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General NPI Number Information
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NPI Number | 1649565383
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Entity Type | Organization
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Legal Business Name | CP AMBULANCE SERVICES LLC
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Dates
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Enumeration Date | 06/10/2011
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 1108 E GIBSON ST
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City | JASPER
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State | TX
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Zip | 75951-5241
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Country | US
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Telephone | 409-384-2049
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Fax | 409-356-4022
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Provider Business Mailing Address
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Address Line | PO BOX 824
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City | JASPER
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State | TX
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Zip | 75951-0036
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Country | US
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Telephone | 409-384-2049
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Fax | 409-356-4022
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Authorized Official
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Title or Position | OWER
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Name | CECIL B PARSON
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Credential |
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Telephone | 409-384-2049
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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 | 1000638
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License Number State | TX
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