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General NPI Number Information
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NPI Number | 1881676294
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Entity Type | Organization
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Legal Business Name | CITY OF BOOKER AMBULANCE SERVICE
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Dates
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Enumeration Date | 11/19/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 214 SOUTH MAIN
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City | BOOKER
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State | TX
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Zip | 79005
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Country | US
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Telephone | 806-658-4579
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Fax | 806-658-9627
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Provider Business Mailing Address
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Address Line | 214 S , MAIN P.O BOX M
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City | BOOKER
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State | TX
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Zip | 79005-0450
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Country | US
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Telephone | 806-658-4579
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Fax | 806-658-9627
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. LUPITA ESTRADA
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Credential |
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Telephone | 806-658-4579
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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 | 148002
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License Number State | TX
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