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General NPI Number Information
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NPI Number | 1710981774
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Entity Type | Organization
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Legal Business Name | METROPOLITAN AREA EMS AUTHORITY
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 2900 ALTA MERE DR
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City | FORT WORTH
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State | TX
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Zip | 76116
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Country | US
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Telephone | 817-923-3700
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Fax | 817-632-0537
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Provider Business Mailing Address
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Address Line | 2900 ALTA MERE DR
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City | FORT WORTH
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State | TX
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Zip | 76116-4115
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Country | US
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Telephone | 817-923-3700
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Fax | 817-632-0537
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Authorized Official
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Title or Position | CEO
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Name | MR. KENNETH J. SIMPSON
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Credential | J.D. NRP
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Telephone | 817-923-3700
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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 | 220062
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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