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General NPI Number Information
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NPI Number | 1881758696
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Entity Type | Organization
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Legal Business Name | CITY OF EVERMAN EMS
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 212 N RACE ST
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City | EVERMAN
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State | TX
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Zip | 76140-3213
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Country | US
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Telephone | 817-293-6870
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Fax | 817-293-0758
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Provider Business Mailing Address
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Address Line | 212 N RACE ST
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City | EVERMAN
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State | TX
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Zip | 76140-3213
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Country | US
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Telephone | 817-293-6870
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Fax | 817-293-0758
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | PAUL ALAN BALES
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Credential | EMTP
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Telephone | 817-293-6870
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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 | 220008
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License Number State | TX
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