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General NPI Number Information
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NPI Number | 1003997891
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Entity Type | Organization
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Legal Business Name | CCEMS INC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 200 BUFORD ST
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City | ELBA
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State | AL
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Zip | 36323-1706
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Country | US
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Telephone | 334-347-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BUFORD ST
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City | ELBA
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State | AL
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Zip | 36323-1706
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Country | US
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Telephone | 334-347-0333
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER/BILLING CLERK
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Name | LAURIE CONLEY
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Credential |
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Telephone | 334-347-0333
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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 | 611
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License Number State | AL
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