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General NPI Number Information
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NPI Number | 1902165020
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Entity Type | Organization
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Legal Business Name | ST PETER CLEVER EMS INC
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 6300 HILLCROFT ST SUITE 490 B
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City | HOUSTON
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State | TX
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Zip | 77081-3006
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Country | US
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Telephone | 713-213-2819
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 HILLCROFT ST SUITE 490 B
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City | HOUSTON
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State | TX
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Zip | 77081-3006
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Country | US
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Telephone | 713-213-2819
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | UGOCKUKWU EJIOFOR
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Credential |
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Telephone | 713-213-2819
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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 | 1000791
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License Number State | TX
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