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NPI 1043356041

NPI 1043356041 : LOW COUNTRY MEDICAL TRANSPORT, INC. : VARNVILLE, SC

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General NPI Number Information
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    NPI Number           |    1043356041
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOW COUNTRY MEDICAL TRANSPORT, INC. 
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Dates
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    Enumeration Date     |    01/29/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    61 HICKORY HILL RD. 
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    City                 |    VARNVILLE
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    State                |    SC
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    Zip                  |    29944
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    Country              |    US
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    Telephone            |    803-943-3939
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    61 HICKORY HILL RD. 
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    City                 |    VARNVILLE
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    State                |    SC
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    Zip                  |    29944
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. HATTIE  ASKEW 
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    Credential           |    
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    Telephone            |    803-943-3939
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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       |    219
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    License Number State |    SC
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