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General NPI Number Information
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NPI Number | 1972754364
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Entity Type | Organization
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Legal Business Name | LA VIDA EMS INC
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Dates
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Enumeration Date | 10/04/2008
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Last Update Date | 10/04/2008
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Provider Practice Location Address
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Address Line | 10603 STANCLIFF RD
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City | HOUSTON
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State | TX
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Zip | 77099-4330
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Country | US
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Telephone | 832-512-2187
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 631005
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City | HOUSTON
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State | TX
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Zip | 77263-1005
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Country | US
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Telephone | 832-512-2187
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMAD MASRI
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Credential |
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Telephone | 832-512-2187
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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 | 1000162
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License Number State | TX
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