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General NPI Number Information
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NPI Number | 1083988349
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Entity Type | Organization
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Legal Business Name | ATLAS AMBULANCE INC
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 04/16/2012
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Provider Practice Location Address
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Address Line | 6961 PEACHTREE INDUSTRIAL BLVD SUITE 102H
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City | NORCROSS
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State | GA
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Zip | 30092-3647
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Country | US
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Telephone | 770-840-1950
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Fax | 770-840-1955
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Provider Business Mailing Address
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Address Line | 6961 PEACHTREE INDUSTRIAL BLVD SUITE 102H
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City | NORCROSS
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State | GA
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Zip | 30092-3647
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Country | US
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Telephone | 770-840-1950
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Fax | 770-840-1955
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Authorized Official
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Title or Position | OWNER
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Name | MR. ABDELGHANI SOUHAIL
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Credential |
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Telephone | 770-840-1950
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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 | 067-16
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License Number State | GA
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