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General NPI Number Information
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NPI Number | 1801873609
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Entity Type | Organization
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Legal Business Name | CITY OF SUDAN
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 101 HORNET DRIVE
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City | SUDAN
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State | TX
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Zip | 79371
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Country | US
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Telephone | 806-227-2113
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Fax | 806-227-2114
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Provider Business Mailing Address
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Address Line | PO BOX 491
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City | SUDAN
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State | TX
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Zip | 79371-0491
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Country | US
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Telephone | 806-227-2113
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Fax | 806-227-2114
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Authorized Official
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Title or Position | EMT-I BILLING COORDINTOR
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Name | PATRICIA HILL
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Credential | EMT I
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Telephone | 806-638-9987
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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 | 140007
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License Number State | TX
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