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General NPI Number Information
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NPI Number | 1104565761
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Entity Type | Organization
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Legal Business Name | PATIENT FIRST AMBULANCE, LLC
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 1401 BEECHWOOD DR NE
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City | LANCASTER
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State | OH
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Zip | 43130-1314
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Country | US
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Telephone | 740-409-6161
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Fax | 740-879-1380
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Provider Business Mailing Address
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Address Line | 1401 BEECHWOOD DR NE
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City | LANCASTER
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State | OH
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Zip | 43130-1314
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Country | US
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Telephone | 740-409-6161
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Fax | 740-879-1380
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Authorized Official
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Title or Position | OWNER
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Name | DWAYNE S HOLIDAY
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Credential | CO
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Telephone | 740-974-3753
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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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