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General NPI Number Information
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NPI Number | 1720293228
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Entity Type | Organization
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Legal Business Name | UTOPIA VOLUNTEER EMS, INC.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 462 SYCAMORE STREET
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City | UTOPIA
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State | TX
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Zip | 78884
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Country | US
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Telephone | 830-966-2435
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 691008
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City | HOUSTON
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State | TX
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Zip | 77269-1008
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Country | US
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Telephone | 281-671-1500
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Fax | 832-912-1305
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JENNIFER LEANDER
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Credential |
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Telephone | 281-671-1500
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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 | 232004
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License Number State | TX
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