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General NPI Number Information
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NPI Number | 1013433382
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Entity Type | Organization
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Legal Business Name | 1ST RESPONDERS EMS
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 689 BLUE ASH CT
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City | MCDONOUGH
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State | GA
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Zip | 30253-3019
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Country | US
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Telephone | 770-309-8939
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Fax |
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Provider Business Mailing Address
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Address Line | 689 BLUE ASH CT
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City | MCDONOUGH
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State | GA
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Zip | 30253-3019
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Country | US
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Telephone | 770-309-8939
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HANZ JOSEPH FEQUIERE
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Credential |
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Telephone | 678-592-2656
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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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