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General NPI Number Information
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NPI Number | 1841504628
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Entity Type | Organization
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Legal Business Name | READY-TO-GO MED-SOURCES
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 2600 S LOOP W STE 291
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City | HOUSTON
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State | TX
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Zip | 77054-2653
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Country | US
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Telephone | 713-592-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 S LOOP W STE 291
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City | HOUSTON
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State | TX
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Zip | 77054-2653
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Country | US
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Telephone | 713-592-0300
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. PAULA EALY
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Credential | MS
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Telephone | 713-592-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 16767472
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License Number State | TX
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