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General NPI Number Information
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NPI Number | 1699717447
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Entity Type | Organization
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Legal Business Name | RELIABLE AMBULANCE SERVICE OF CORPUS CHRISTI, INC.
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 920 S BROWNLEE BLVD
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-3528
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Country | US
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Telephone | 361-887-0262
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Fax | 361-887-0292
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Provider Business Mailing Address
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Address Line | PO BOX 3887
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City | CORPUS CHRISTI
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State | TX
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Zip | 78463-3887
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Country | US
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Telephone | 361-887-0262
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Fax | 367-887-0292
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FERNANDO CANSECO
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Credential |
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Telephone | 361-887-0262
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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 | 178034
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License Number State | TX
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