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General NPI Number Information
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NPI Number | 1003829375
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Entity Type | Organization
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Legal Business Name | AAA AMBULANCE SERVICE
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 100 RAWLS SPRINGS LOOP RD
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City | HATTIESBURG
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State | MS
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Zip | 39402-8491
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Country | US
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Telephone | 601-264-2221
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Fax | 601-255-0896
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Provider Business Mailing Address
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Address Line | PO BOX 17889
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City | HATTIESBURG
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State | MS
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Zip | 39404-7889
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Country | US
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Telephone | 601-264-2221
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Fax | 601-255-0896
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | LYDIA JEFCOAT
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Credential | CPA
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Telephone | 601-264-3581
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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 | 001-ALS-PARAMEDIC
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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