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General NPI Number Information
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NPI Number | 1003870072
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Entity Type | Organization
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Legal Business Name | BRAVEHEART MEDICAL TRANSPORT, INC.
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 114 JOHN ST
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City | LAURINBURG
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State | NC
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Zip | 28352-3030
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Country | US
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Telephone | 910-277-8003
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Fax | 910-277-0508
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Provider Business Mailing Address
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Address Line | PO BOX 25863
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City | WINSTON SALEM
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State | NC
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Zip | 27114-5863
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Country | US
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Telephone | 910-277-8003
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Fax | 910-277-0508
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Authorized Official
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Title or Position | OWNER & AUTHORIZED OFFICIAL
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Name | HAROLD NEIL SMITH
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Credential |
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Telephone | 910-277-8003
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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 |
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License Number State |
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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 | 1381
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License Number State | NC
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