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General NPI Number Information
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NPI Number | 1942581103
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Entity Type | Organization
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Legal Business Name | EVERCARE EMS LLC
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 10700 CORPORATE DR 118
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City | STAFFORD
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State | TX
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Zip | 77477-4002
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Country | US
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Telephone | 713-550-4161
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Fax | 281-565-2573
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Provider Business Mailing Address
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Address Line | 10700 CORPORATE DR 118
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City | STAFFORD
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State | TX
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Zip | 77477-4002
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Country | US
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Telephone | 713-550-4161
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Fax | 281-565-2573
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Authorized Official
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Title or Position | OWNER
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Name | LAWRENCE OKONKWO
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Credential |
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Telephone | 713-550-4161
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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 | 1000664
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License Number State | TX
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