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General NPI Number Information
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NPI Number | 1699091041
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Entity Type | Organization
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Legal Business Name | BRIGHT STAR MEDICAL TRANSPORT
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 3830 QUIET PLACE DR
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City | HOUSTON
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State | TX
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Zip | 77082-1226
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Country | US
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Telephone | 832-537-3484
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Fax | 832-582-3672
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Provider Business Mailing Address
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Address Line | PO BOX 546
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City | SUGAR LAND
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State | TX
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Zip | 77487-0546
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Country | US
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Telephone | 832-537-3484
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Fax | 832-582-3672
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GODFREY OGBEIDE
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Credential |
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Telephone | 832-537-3484
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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 | 1000417
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License Number State | TX
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