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General NPI Number Information
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NPI Number | 1114088234
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1855 BELGRADE AVENUE
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City | CHARLESTON
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State | SC
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Zip | 29407-5713
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Country | US
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Telephone | 843-769-4280
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Fax | 843-225-4280
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Provider Business Mailing Address
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Address Line | P O BOX 30488
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City | CHARLESTON
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State | SC
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Zip | 29417-0488
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Country | US
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Telephone | 843-225-0460
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Fax | 843-769-4555
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | MR. DAVID BARUCH ABRAMS
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Credential | ESQ
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Telephone | 843-276-5579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 165
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License Number State | SC
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