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General NPI Number Information
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NPI Number | 1720312770
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Entity Type | Organization
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Legal Business Name | SOUTHPOINT EMS, LLC
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 10514 ACACIA FOREST TRL
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City | HOUSTON
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State | TX
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Zip | 77089-5961
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Country | US
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Telephone | 713-382-0008
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 751085
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City | HOUSTON
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State | TX
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Zip | 77275-1085
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Country | US
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Telephone | 713-382-0008
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | JOHN M LINARES
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Credential |
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Telephone | 713-382-0008
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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 | 1000325
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License Number State | TX
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