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General NPI Number Information
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NPI Number | 1891728465
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Entity Type | Organization
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Legal Business Name | CITY OF COLLEGE STATION
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 300 KRENEK TAP RD
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City | COLLEGE STATION
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State | TX
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Zip | 77840-5023
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Country | US
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Telephone | 979-764-3705
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 223783
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City | DALLAS
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State | TX
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Zip | 75222-3783
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Country | US
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Telephone | 979-764-3705
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Fax |
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Authorized Official
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Title or Position | ASST. EMS CHIEF
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Name | JOSHUA VARNER
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Credential |
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Telephone | 979-764-3705
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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 | 021004
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License Number State | TX
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