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General NPI Number Information
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NPI Number | 1780762765
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Entity Type | Organization
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Legal Business Name | CITY OF HIGHLAND VILLAGE
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/04/2024
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Provider Practice Location Address
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Address Line | 1200 HIGHLAND VILLAGE RD
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City | HIGHLAND VILLAGE
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State | TX
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Zip | 75077-6748
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Country | US
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Telephone | 972-317-0890
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Fax | 972-317-3913
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Provider Business Mailing Address
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Address Line | 1200 HIGHLAND VILLAGE RD
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City | HIGHLAND VILLAGE
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State | TX
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Zip | 75077-6748
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Country | US
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Telephone | 972-317-0890
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Fax | 972-317-3913
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Authorized Official
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Title or Position | CHIEF
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Name | KEVIN GOSSELIN
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Credential |
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Telephone | 972-317-4890
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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 | 61002
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License Number State | TX
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