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General NPI Number Information
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NPI Number | 1700807625
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Entity Type | Organization
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Legal Business Name | CITY OF KENNEDALE
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 100 CLOVER LN
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City | KENNEDALE
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State | TX
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Zip | 76060-2632
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Country | US
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Telephone | 817-561-2237
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Fax | 817-561-2183
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Provider Business Mailing Address
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Address Line | 405 MUNICIPAL DR
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City | KENNEDALE
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State | TX
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Zip | 76060-2249
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Country | US
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Telephone | 817-985-2150
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Fax | 817-483-0182
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Authorized Official
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Title or Position | CHIEF
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Name | ERIC PETERSON
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Credential |
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Telephone | 817-985-2151
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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 | 220046
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License Number State | TX
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