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General NPI Number Information
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NPI Number | 1023230364
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Entity Type | Organization
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Legal Business Name | GENESIS EMS INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 09/07/2010
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Provider Practice Location Address
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Address Line | 209 W MONROE ST
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City | THOMASVILLE
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State | GA
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Zip | 31792-5422
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Country | US
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Telephone | 229-226-4446
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Fax | 888-852-0319
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Provider Business Mailing Address
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Address Line | 209 W MONROE ST PO BOX 1396
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City | THOMASVILLE
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State | GA
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Zip | 31792-5422
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Country | US
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Telephone | 229-226-4446
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Fax | 888-852-0319
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Authorized Official
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Title or Position | CEO
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Name | MR. THOMAS MICHAEL BARNWELL
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Credential |
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Telephone | 770-761-4560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 136-03
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License Number State | GA
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