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General NPI Number Information
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NPI Number | 1861496473
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Entity Type | Organization
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Legal Business Name | CITY OF THORNDALE
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 105 N MAIN
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City | THORNDALE
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State | TX
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Zip | 76577
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Country | US
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Telephone | 512-898-2523
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Fax | 816-431-4973
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Provider Business Mailing Address
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Address Line | PO BOX 308
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City | THORNDALE
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State | TX
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Zip | 76577-0308
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Country | US
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Telephone | 512-898-2523
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Fax | 816-431-4973
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Authorized Official
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Title or Position | EMS COORDINATOR
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Name | DARRELL TOWERY
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Credential |
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Telephone | 512-898-2523
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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 | 1661001
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License Number State | TX
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