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General NPI Number Information
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NPI Number | 1003231721
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Entity Type | Organization
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Legal Business Name | HONORABLE EMS INC
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 5514 FRONTIER CT
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City | ELLENWOOD
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State | GA
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Zip | 30294-4387
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Country | US
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Telephone | 404-670-3858
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Fax |
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Provider Business Mailing Address
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Address Line | 5514 FRONTIER CT
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City | ELLENWOOD
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State | GA
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Zip | 30294-4387
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Country | US
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Telephone | 404-670-3858
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Fax | 678-759-1896
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Authorized Official
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Title or Position | CEO
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Name | TONY KIM
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Credential |
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Telephone | 404-670-3858
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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 | 1
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License Number State | GA
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