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General NPI Number Information
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NPI Number | 1114969755
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Entity Type | Organization
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Legal Business Name | HARLAN EMERGENCY MEDICAL SERVICES CORPORATION
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 151 ANDERSON ST
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City | HARLAN
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State | KY
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Zip | 40831-7275
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Country | US
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Telephone | 606-573-2705
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Fax | 606-573-9777
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Provider Business Mailing Address
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Address Line | PO BOX 169
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City | HARLAN
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State | KY
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Zip | 40831
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Country | US
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Telephone | 606-573-2705
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Fax | 606-573-9777
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MELISSA D JOHNSON
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Credential |
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Telephone | 606-573-2721
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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 | 1303
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License Number State | KY
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