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General NPI Number Information
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NPI Number | 1851317150
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Entity Type | Organization
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Legal Business Name | NEW LIFE AMBULANCE SERVICE
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 30 LYERLY STE 2
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City | HOUSTON
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State | TX
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Zip | 77022
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Country | US
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Telephone | 713-691-7077
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Fax | 713-691-7417
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Provider Business Mailing Address
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Address Line | PO BOX 682902
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City | HOUSTON
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State | TX
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Zip | 77268
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Country | US
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Telephone | 281-709-5697
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALBERTO GARCIA JR.
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Credential |
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Telephone | 281-709-5697
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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 | 015102
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License Number State | TX
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