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General NPI Number Information
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NPI Number | 1699772004
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Entity Type | Organization
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Legal Business Name | BEEVILLE ANGEL CARE AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 1105 W CORPUS CHRISTI ST
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City | BEEVILLE
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State | TX
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Zip | 78102-5513
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Country | US
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Telephone | 361-358-6472
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Fax | 361-358-6473
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Provider Business Mailing Address
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Address Line | 1105 W CORPUS CHRISTI ST P. O. BOX 1293
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City | BEEVILLE
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State | TX
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Zip | 78102-5513
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Country | US
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Telephone | 361-358-6472
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Fax | 361-358-6743
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Authorized Official
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Title or Position | PRESIDENT
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Name | GABRIEL ALEMAN
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Credential |
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Telephone | 361-358-6472
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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 | 013003
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License Number State | TX
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