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General NPI Number Information
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NPI Number | 1861788416
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Entity Type | Organization
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Legal Business Name | VIC AMBULANCE INC
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 7457 HARWIN DR 327B
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City | HOUSTON
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State | TX
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Zip | 77036-2018
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Country | US
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Telephone | 832-293-8308
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Fax | 713-481-0922
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Provider Business Mailing Address
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Address Line | 7457 HARWIN DR 327B
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City | HOUSTON
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State | TX
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Zip | 77036-2018
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Country | US
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Telephone | 832-293-8308
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Fax | 713-481-0922
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Authorized Official
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Title or Position | OWNER
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Name | IFEANYI S IMOH
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Credential |
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Telephone | 832-293-8308
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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 | 1000642
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License Number State | TX
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