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General NPI Number Information
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NPI Number | 1023516143
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Entity Type | Organization
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Legal Business Name | ESSENTIAL HEALTH CARE TRANSPORT LLC
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 6010 RENAISSANCE PKWY APT 6408
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City | FAIRBURN
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State | GA
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Zip | 30213
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Country | US
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Telephone | 404-988-7596
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Fax |
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Provider Business Mailing Address
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Address Line | 6010 RENAISSANCE PKWY APT 6408
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City | FAIRBURN
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State | GA
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Zip | 30213
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Country | US
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Telephone | 404-988-7596
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GLENN LENARD WASHINGTON
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Credential |
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Telephone | 404-988-7596
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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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