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General NPI Number Information
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NPI Number | 1124607304
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Entity Type | Organization
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Legal Business Name | MITCHELL MEDICS
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 121 FOREST SERVICE DR
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City | BAKERSVILLE
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State | NC
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Zip | 28705-7047
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Country | US
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Telephone | 336-846-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 716 MOUNT JEFFERSON RD
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City | WEST JEFFERSON
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State | NC
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Zip | 28694-8379
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CRAIG SULLIVAN
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Credential |
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Telephone | 336-846-9111
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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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