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General NPI Number Information
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NPI Number | 1669506879
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Entity Type | Organization
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Legal Business Name | LUMBERTON FIRE AND EMS
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 228 COUNTRY LN
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City | LUMBERTON
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State | TX
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Zip | 77657
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Country | US
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Telephone | 409-751-3900
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Fax | 409-751-3931
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Provider Business Mailing Address
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Address Line | PO BOX 8657
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City | LUMBERTON
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State | TX
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Zip | 77657-0657
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Country | US
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Telephone | 409-751-3900
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Fax | 409-751-3931
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Authorized Official
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Title or Position | CHIEF
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Name | MR. DENNIS GIFFORD
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Credential |
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Telephone | 409-751-3900
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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 | 100004
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License Number State | TX
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