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General NPI Number Information
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NPI Number | 1770621492
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Entity Type | Organization
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Legal Business Name | CITY OF MESQUITE
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | 1515 N GALLOWAY AVE
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City | MESQUITE
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State | TX
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Zip | 75149-2359
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Country | US
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Telephone | 972-216-6267
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Fax | 972-329-8315
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Provider Business Mailing Address
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Address Line | 1515 N GALLOWAY AVE
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City | MESQUITE
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State | TX
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Zip | 75149-2359
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Country | US
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Telephone | 972-216-6267
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Fax | 972-329-8315
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Authorized Official
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Title or Position | DEPUTY FIRE CHIEF
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Name | MR. BRIAN THOMAS STAPLES
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Credential | PARAMEDIC
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Telephone | 972-216-6465
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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 | 057030
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License Number State | TX
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