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General NPI Number Information
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NPI Number | 1861530990
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Entity Type | Organization
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Legal Business Name | CITY OF DALLAS
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 1500 MARILLA ST SUITE 7AS
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City | DALLAS
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State | TX
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Zip | 75201-6318
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Country | US
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Telephone | 888-729-1886
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Fax | 888-974-1293
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Provider Business Mailing Address
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Address Line | PO BOX 843835 1950 N STEMMONS FWY
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City | DALLAS
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State | TX
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Zip | 75284-3835
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Country | US
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Telephone | 888-729-1886
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Fax | 888-974-1293
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MR. RAJAN THOMAS
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Credential |
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Telephone | 214-671-8946
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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 | 057016
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License Number State | TX
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