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General NPI Number Information
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NPI Number | 1104669191
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Entity Type | Organization
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Legal Business Name | CARDINAL EMS LLC
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3411 AUSTELL RD SW STE 108
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City | MARIETTA
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State | GA
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Zip | 30008-5796
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Country | US
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Telephone | 404-987-6326
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Fax |
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Provider Business Mailing Address
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Address Line | 7243 BRITTANY WAY
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-4075
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Country | US
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Telephone | 404-904-4617
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEVON W. BARKLEY
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Credential |
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Telephone | 404-987-6326
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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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