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General NPI Number Information
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NPI Number | 1003004722
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Entity Type | Organization
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Legal Business Name | HAYNES AMBULANCES OF WETUMPKA, LLC
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 527 HOSPITAL DR
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City | WETUMPKA
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State | AL
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Zip | 36092-1626
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Country | US
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Telephone | 334-567-7039
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Fax | 334-285-2170
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Provider Business Mailing Address
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Address Line | PO BOX 1308
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City | WETUMPKA
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State | AL
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Zip | 36092-0022
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Country | US
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Telephone | 334-567-7039
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Fax | 334-285-2170
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | MR. JOSEPH PERRY HAYNES
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Credential |
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Telephone | 334-567-7039
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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 | 952
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License Number State | AL
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