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General NPI Number Information
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NPI Number | 1134285315
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Entity Type | Organization
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Legal Business Name | MEDIC EMS, LLC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 166 SHARON AVE
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City | ASHLAND
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State | OH
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Zip | 44805-1549
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Country | US
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Telephone | 330-723-1911
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Fax | 419-289-2142
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Provider Business Mailing Address
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Address Line | PO BOX 202
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City | ASHLAND
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State | OH
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Zip | 44805-0202
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Country | US
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Telephone | 330-723-1911
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Fax | 419-289-2142
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Authorized Official
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Title or Position | PARAMEDIC CHIEF / CEO / OWNER
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Name | MR. JEFFREY K SCOTT
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Credential | NREMT-P. MBA, EMSI
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Telephone | 330-723-1911
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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 | 01602488
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License Number State | OH
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