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General NPI Number Information
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NPI Number | 1871583104
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Entity Type | Organization
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Legal Business Name | AMI-ADVANCED MEDIC INC.
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 11/22/2011
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Provider Practice Location Address
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Address Line | 1119 OAK CREEK DR
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City | RICHMOND
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State | TX
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Zip | 77469-4926
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Country | US
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Telephone | 713-734-9760
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Fax | 713-734-9754
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Provider Business Mailing Address
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Address Line | PO BOX 7761
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City | THE WOODLANDS
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State | TX
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Zip | 77387-7761
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Country | US
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Telephone | 713-734-9760
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Fax | 713-734-9754
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEX YEVERINO
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Credential |
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Telephone | 713-734-9760
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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 | 101281
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License Number State | TX
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