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General NPI Number Information
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NPI Number | 1700889839
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Entity Type | Organization
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Legal Business Name | GARBER EMERGENCY MEDICAL SERVICE (GEMS)
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 19907 E PHILLIPS RD
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City | GARBER
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State | OK
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Zip | 73738-0497
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Country | US
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Telephone | 580-863-2961
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Fax | 580-863-5271
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Provider Business Mailing Address
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Address Line | 19907 E PHILLIPS RD
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City | GARBER
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State | OK
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Zip | 73738-0497
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Country | US
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Telephone | 580-863-2961
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Fax | 580-863-5271
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Authorized Official
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Title or Position | TREASURER
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Name | MR. RAYMOND HAL LONG
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Credential |
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Telephone | 580-863-2961
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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 | EMS424
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License Number State | OK
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