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General NPI Number Information
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NPI Number | 1922147206
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Entity Type | Organization
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Legal Business Name | TOWN OF PROSPER
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 1500 E 1ST ST
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City | PROSPER
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State | TX
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Zip | 75078-8971
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Country | US
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Telephone | 729-347-2424
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Fax | 800-353-2196
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Provider Business Mailing Address
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Address Line | PO BOX 495548
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City | GARLAND
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State | TX
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Zip | 75049-5548
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Country | US
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Telephone | 214-340-2650
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Fax | 214-503-7135
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | STUART BLASINGAME
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Credential |
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Telephone | 972-347-2424
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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 | 043012
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License Number State | TX
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