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NPI 1962729277

NPI 1962729277 : MEMORIAL EMS SERVICES : BOERNE, TX

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General NPI Number Information
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    NPI Number           |    1962729277
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEMORIAL EMS SERVICES 
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Dates
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    Enumeration Date     |    04/26/2010
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    Last Update Date     |    04/26/2010
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Provider Practice Location Address
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    Address Line         |    27211 RANCH CRK 
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    City                 |    BOERNE
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    State                |    TX
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    Zip                  |    78006-4839
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    Country              |    US
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    Telephone            |    281-568-1000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    27211 RANCH CRK 
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    City                 |    BOERNE
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    State                |    TX
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    Zip                  |    78006-4839
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    Country              |    US
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    Telephone            |    281-568-1000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHUKS B ORJI 
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    Credential           |    
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    Telephone            |    281-568-1000
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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       |    
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    License Number State |    
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