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General NPI Number Information
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NPI Number | 1770566077
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Entity Type | Organization
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Legal Business Name | CITY OF STINNETT
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 731 MAIN STREET
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City | STINNETT
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State | TX
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Zip | 79083-0909
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Country | US
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Telephone | 806-878-3766
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Fax | 806-878-2084
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | STINNETT
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State | TX
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Zip | 79083-0909
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Country | US
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Telephone | 806-878-2422
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Fax | 806-878-2540
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Authorized Official
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Title or Position | DIRECTOR
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Name | JEFFREY WAYNE STIEG
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Credential | PARAMEDIC, AOR
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Telephone | 806-201-2705
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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 | 117003
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License Number State | TX
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