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General NPI Number Information
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NPI Number | 1891110466
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Entity Type | Organization
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Legal Business Name | G.LLC
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Dates
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Enumeration Date | 02/19/2014
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 7322 THUROW ST
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City | HOUSTON
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State | TX
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Zip | 77087-3721
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Country | US
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Telephone | 832-484-2308
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Fax | 832-201-9729
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Provider Business Mailing Address
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Address Line | 7322 THUROW ST
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City | HOUSTON
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State | TX
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Zip | 77087-3721
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Country | US
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Telephone | 832-484-2308
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Fax | 832-201-9729
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Authorized Official
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Title or Position | CEO
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Name | FLOYD JACKSON
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Credential |
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Telephone | 832-484-2308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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