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General NPI Number Information
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NPI Number | 1710977061
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Entity Type | Organization
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Legal Business Name | WALKER COUNTY
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 1619 HIGHWAY 30 E
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City | HUNTSVILLE
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State | TX
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Zip | 77320-5491
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Country | US
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Telephone | 936-295-4848
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Fax | 936-435-2482
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Provider Business Mailing Address
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Address Line | PO BOX 1602
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City | HUNTSVILLE
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State | TX
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Zip | 77342-1602
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Country | US
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Telephone | 936-295-4848
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Fax | 936-435-2482
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | RACHEL PARKER
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Credential |
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Telephone | 936-295-4848
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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 | 236004
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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 | 236004
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License Number State | TX
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