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General NPI Number Information
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NPI Number | 1649577008
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Entity Type | Organization
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Legal Business Name | MED-LIFE EMS LLC
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 2031 E GRIFFIN PKWY STE B-1
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City | MISSION
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State | TX
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Zip | 78572-3222
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Country | US
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Telephone | 956-451-3634
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Fax | 956-424-6606
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Provider Business Mailing Address
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Address Line | 2031 E GRIFFIN PKWY STE B-1
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City | MISSION
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State | TX
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Zip | 78572-3222
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Country | US
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Telephone | 956-451-3634
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Fax | 956-424-6606
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS CLAUDIA A DELGADO
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Credential |
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Telephone | 956-451-3634
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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 | 1000571
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License Number State | TX
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