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General NPI Number Information
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NPI Number | 1114665007
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Entity Type | Organization
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Legal Business Name | INTENTIONAL HEALING MEDICAL TRANSPORTATION SERVICES, LLC
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Dates
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Enumeration Date | 05/22/2022
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1415 WATERLILY LN
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City | CHARLOTTE
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State | NC
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Zip | 28262-3185
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Country | US
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Telephone | 704-890-9311
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 WATERLILY LN
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City | CHARLOTTE
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State | NC
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Zip | 28262-3185
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Country | US
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Telephone | 704-890-9311
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JAMEIL MILLER
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Credential |
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Telephone | 704-890-9311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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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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