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General NPI Number Information
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NPI Number | 1770709487
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Entity Type | Organization
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Legal Business Name | FIRST RESPONSE EMS
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2611 N BELT LINE RD SUITE 138
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City | SUNNYVALE
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State | TX
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Zip | 75182-9301
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Country | US
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Telephone | 972-289-4645
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Fax | 972-289-4611
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Provider Business Mailing Address
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Address Line | PO BOX 850408
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City | MESQUITE
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State | TX
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Zip | 75185-0408
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Country | US
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Telephone | 972-289-4645
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Fax | 972-289-4611
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. KIM ANN BACCO
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Credential | RN
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Telephone | 214-517-4593
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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 | 057101
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License Number State | TX
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