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General NPI Number Information
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NPI Number | 1750418174
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Entity Type | Organization
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Legal Business Name | WIGGINS & SHOAF INVESTMENTS LLC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 9219 ARROWHEAD TRACE LN
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City | HOUSTON
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State | TX
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Zip | 77089-5833
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Country | US
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Telephone | 281-451-4639
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 SOUTH LOOP WEST
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City | HOUSTON
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State | TX
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Zip | 77054
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Country | US
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Telephone | 281-451-4639
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRANDON SHOAF
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Credential |
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Telephone | 281-451-4639
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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 | 800238
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License Number State | TX
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