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NPI 1770911935

NPI 1770911935 : NEW MILLENNIUM AMBULANCE SERVICE LLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1770911935
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW MILLENNIUM AMBULANCE SERVICE LLC 
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Dates
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    Enumeration Date     |    10/28/2013
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    Last Update Date     |    02/16/2015
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Provider Practice Location Address
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    Address Line         |    5504 BANDERA RD 608
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78238-1943
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    Country              |    US
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    Telephone            |    832-646-4780
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    Fax                  |    888-200-6642
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Provider Business Mailing Address
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    Address Line         |    8015 OXFORDSHIRE DR 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77379-4671
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    Country              |    US
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    Telephone            |    832-646-4780
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    Fax                  |    888-200-6642
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JAMES A MARTEL 
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    Credential           |    
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    Telephone            |    832-878-6759
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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       |    1000896
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    License Number State |    TX
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