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General NPI Number Information
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NPI Number | 1124446190
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Entity Type | Organization
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Legal Business Name | HEART SONG CARE TRANSPORT
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Dates
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Enumeration Date | 04/06/2014
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Last Update Date | 04/06/2014
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Provider Practice Location Address
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Address Line | 710 DENBIGH BLVD STE 2E
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4427
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Country | US
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Telephone | 757-877-4597
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Fax |
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Provider Business Mailing Address
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Address Line | 710 DENBIGH BLVD STE 2E
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4427
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Country | US
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Telephone | 757-877-4597
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RYAN DOUGLAS MILLER
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Credential |
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Telephone | 757-877-4597
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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 |
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License Number State | VA
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