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General NPI Number Information
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NPI Number | 1942395199
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Entity Type | Organization
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Legal Business Name | WINNIE-STOWELL VOLUNTEER EMERGENCY MEDICAL SERVICES
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 249 BROADWAY
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City | WINNIE
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State | TX
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Zip | 77665
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Country | US
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Telephone | 409-296-9627
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Fax | 409-296-9236
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Provider Business Mailing Address
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Address Line | PO BOX 227377
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City | DALLAS
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State | TX
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Zip | 75222-7377
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Country | US
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Telephone | 877-602-2060
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Fax | 800-353-2196
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | JOSHUA WAHLEITHNER
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Credential |
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Telephone | 903-284-7972
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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 | 036003
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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