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General NPI Number Information
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NPI Number | 1740550870
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Entity Type | Organization
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Legal Business Name | PRIMARY AMBULANCE LLC
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 1801 GUST ST STE B
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City | LAREDO
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State | TX
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Zip | 78041-5414
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Country | US
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Telephone | 956-462-5390
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Fax | 956-267-8485
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Provider Business Mailing Address
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Address Line | 1801 GUST ST STE B
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City | LAREDO
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State | TX
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Zip | 78041-5414
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Country | US
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Telephone | 956-462-5390
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Fax | 956-267-8485
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MONICA ARREDONDO
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Credential |
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Telephone | 956-489-7134
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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 |
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License Number State |
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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 | 1000767
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License Number State | TX
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