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General NPI Number Information
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NPI Number | 1750676870
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Entity Type | Organization
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Legal Business Name | ACADIAN AMBULANCE SERVICE OF TEXAS LLC
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 3720 CORLEY ST
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City | BEAUMONT
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State | TX
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Zip | 77701-6431
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Country | US
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Telephone | 800-259-2222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 92970
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City | LAFAYETTE
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State | LA
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Zip | 70509-2970
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Country | US
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Telephone | 800-259-3333
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Fax | 337-291-4252
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Authorized Official
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Title or Position | MANAGER OF CONTRACTS
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Name | THOMAS LEONARDS
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Credential |
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Telephone | 337-291-4039
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 800153
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1000848
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License Number State | TX
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