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General NPI Number Information
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NPI Number | 1710258330
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Entity Type | Organization
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Legal Business Name | GRAHAM HOSPITAL DISTRICT
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 1301 MONTGOMERY RD
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City | GRAHAM
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State | TX
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Zip | 76450-4240
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Country | US
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Telephone | 940-521-5316
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Fax | 940-521-5155
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Provider Business Mailing Address
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Address Line | 1301 MONTGOMERY RD
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City | GRAHAM
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State | TX
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Zip | 76450-4240
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Country | US
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Telephone | 940-521-5316
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Fax | 940-521-5155
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. BOBBY HADDERTON
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Credential |
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Telephone | 940-521-5316
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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 | 1000930
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1000930
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 252003
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1000930
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License Number State | TX
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