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General NPI Number Information
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NPI Number | 1982695268
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Entity Type | Organization
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Legal Business Name | CITY OF BEAUMONT
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 07/07/2010
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Provider Practice Location Address
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Address Line | 801 MAIN ST SUITE 110
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City | BEAUMONT
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State | TX
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Zip | 77701-3548
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Country | US
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Telephone | 409-880-3772
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Fax | 409-880-3113
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Provider Business Mailing Address
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Address Line | PO BOX 3827 ATTN: CASH MANAGEMENT
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City | BEAUMONT
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State | TX
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Zip | 77704-3827
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Country | US
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Telephone | 409-880-3772
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Fax | 409-880-3113
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. TODD SIMONEAUX
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Credential |
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Telephone | 409-785-4785
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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 | 123001
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License Number State | TX
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