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General NPI Number Information
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NPI Number | 1689659443
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Entity Type | Organization
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Legal Business Name | ENTERPRISE AMBULANCE- HOUSTON, LTD
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 1232 FM 646 RD W
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City | DICKINSON
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State | TX
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Zip | 77539-3017
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Country | US
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Telephone | 281-534-5600
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Fax | 281-337-8111
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Provider Business Mailing Address
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Address Line | 1232 FM 646 RD W
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City | DICKINSON
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State | TX
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Zip | 77539-3017
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Country | US
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Telephone | 281-534-5600
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Fax | 281-337-8111
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Authorized Official
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Title or Position | BILLING SUPERVISIOR
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Name | MS. PAM WAGNER
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Credential |
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Telephone | 281-337-8121
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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 | 30015
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License Number State | TX
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