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General NPI Number Information
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NPI Number | 1710219480
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Entity Type | Organization
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Legal Business Name | R & W MEDICAL TRANSPORT, LLC
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 08/05/2012
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Provider Practice Location Address
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Address Line | 11500 FM 1960 RD W SUITE 123
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City | HOUSTON
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State | TX
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Zip | 77065-3608
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Country | US
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Telephone | 866-928-2664
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Fax | 281-213-0588
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Provider Business Mailing Address
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Address Line | PO BOX 1969
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City | WALLER
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State | TX
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Zip | 77484-1969
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Country | US
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Telephone | 866-928-2664
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Fax | 281-213-0588
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JONATHAN P JOHNS
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Credential |
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Telephone | 281-743-4402
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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 | 1000395
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License Number State | TX
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