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General NPI Number Information
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NPI Number | 1689515876
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Entity Type | Organization
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Legal Business Name | BASTROP COUNTY EMERGENCY SERVICES DISTRICT #3
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 627 W STATE HIGHWAY 71 STE B
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City | BASTROP
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State | TX
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Zip | 78602-3940
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Country | US
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Telephone | 512-409-7700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 547
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City | BASTROP
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State | TX
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Zip | 78602-0547
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Country | US
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Telephone | 512-409-7700
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ALLEN JOHNSON
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Credential |
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Telephone | 512-409-7700
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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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