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General NPI Number Information
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NPI Number | 1104590678
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Entity Type | Organization
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Legal Business Name | QUALITY CARE MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 2488 LAKEWOOD AVE SW
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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 |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | HENRY F REED III
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Credential | EMT
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Telephone | 404-923-0346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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