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NPI 1720044662

NPI 1720044662 : CITY OF SEGUIN : SEGUIN, TX

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General NPI Number Information
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    NPI Number           |    1720044662
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF SEGUIN 
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Dates
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    Enumeration Date     |    04/20/2006
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    Last Update Date     |    08/24/2021
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Provider Practice Location Address
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    Address Line         |    660 S HIGHWAY 46 
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    City                 |    SEGUIN
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    State                |    TX
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    Zip                  |    78155-4714
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    Country              |    US
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    Telephone            |    830-401-2321
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 646007 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75264-6007
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    Country              |    US
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    Telephone            |    855-626-9660
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    Fax                  |    833-953-0588
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Authorized Official
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    Title or Position    |    FIRE CHIEF
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    Name                 |     CLAYTON 'DALE'  SKINNER 
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    Credential           |    
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    Telephone            |    830-401-2310
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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       |    094005
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    License Number State |    TX
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