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General NPI Number Information
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NPI Number | 1932332962
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Entity Type | Organization
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Legal Business Name | PRIMUS EMS INC
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | 620 MURPHY RD STE 207
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City | STAFFORD
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State | TX
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Zip | 77477-5927
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Country | US
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Telephone | 281-515-1123
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Fax | 713-271-7772
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Provider Business Mailing Address
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Address Line | 620 MURPHY RD STE 207
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City | STAFFORD
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State | TX
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Zip | 77477-5927
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Country | US
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Telephone | 281-515-1123
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Fax | 713-271-7772
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH ABADOM
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Credential |
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Telephone | 281-515-1123
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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 | 1000300
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License Number State | TX
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