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General NPI Number Information
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NPI Number | 1053083485
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Entity Type | Organization
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Legal Business Name | QUALITY CARE MEDICAL TRANSPORTATION, LLC
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 2488 LAKEWOOD AVE SW STE D
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City | ATLANTA
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State | GA
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Zip | 30315-6326
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Country | US
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Telephone | 404-923-0346
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Fax |
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Provider Business Mailing Address
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Address Line | 2361 GLYNN DR SE
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City | ATLANTA
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State | GA
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Zip | 30316-3451
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Country | US
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Telephone | 404-989-5267
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. HENRY F REED III
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Credential |
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Telephone | 404-989-5267
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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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