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General NPI Number Information
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NPI Number | 1023331824
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Entity Type | Organization
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Legal Business Name | PARAMOUNT HEALTHCARE PROFESSIONALS, LLC
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 6707 PINE VALLEY TRCE
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-5818
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Country | US
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Telephone | 404-394-8781
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Fax |
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Provider Business Mailing Address
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Address Line | 6707 PINE VALLEY TRACE
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-5818
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Country | US
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Telephone | 404-394-8781
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Fax |
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Authorized Official
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Title or Position | OWNER/ORGANIZER
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Name | MS. MICHELLE ALLISON JOHNSON
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Credential | REGISTERED NURSE
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Telephone | 404-394-8781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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