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General NPI Number Information
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NPI Number | 1811296478
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Entity Type | Organization
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Legal Business Name | LAZBUDDIE VOLUNTEER FIRE DEPARTMENT INC
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Dates
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Enumeration Date | 03/22/2011
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Last Update Date | 05/13/2011
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Provider Practice Location Address
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Address Line | 675 FM 1172
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City | LAZBUDDIE
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State | TX
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Zip | 79053
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Country | US
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Telephone | 877-602-2060
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Fax | 903-887-1863
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Provider Business Mailing Address
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Address Line | 675 FARM ROAD 1172
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City | LAZBUDDIE
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State | TX
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Zip | 79053
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Country | US
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Telephone | 806-965-2176
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Fax | 903-887-1863
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MS. DEBBIE WEIR
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Credential |
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Telephone | 806-965-2176
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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 | 185002
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License Number State | TX
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