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General NPI Number Information
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NPI Number | 1992958342
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Entity Type | Organization
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Legal Business Name | ANGEL CARE AMBULANCE SERVICE LLC
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 1020 WASHINGTON ST STE C
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City | LAREDO
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State | TX
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Zip | 78040-4479
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Country | US
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Telephone | 956-725-7484
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Fax | 956-725-7743
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Provider Business Mailing Address
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Address Line | PO BOX 440235
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City | LAREDO
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State | TX
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Zip | 78044-0235
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Country | US
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Telephone | 956-725-7478
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Fax | 956-725-7743
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Authorized Official
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Title or Position | MANGING MEMBER
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Name | ANGEL GARCIA
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Credential |
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Telephone | 956-725-7484
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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 | 1000196
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License Number State | TX
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