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General NPI Number Information
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NPI Number | 1881676773
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Entity Type | Organization
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Legal Business Name | HAMSHIRE VOLUNTARY FIRE DEPARTMENT, INC.
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 12393 2ND STREET
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City | HAMSHIRE
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State | TX
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Zip | 77622-9400
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Country | US
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Telephone | 409-243-2311
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Fax | 409-243-2113
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Provider Business Mailing Address
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Address Line | PO BOX 10245 2800 BEAUMONT AVE
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City | LIBERTY
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State | TX
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Zip | 77575-7745
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Country | US
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Telephone | 409-243-2311
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Fax | 409-243-2113
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. CAROLYN S HURYCH
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Credential |
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Telephone | 409-243-2311
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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 | 123004
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License Number State | TX
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