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General NPI Number Information
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NPI Number | 1144239989
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Entity Type | Organization
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Legal Business Name | CHURCH HILL EMERGENCY MEDICAL SERVICES, INC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 212 W MAIN BLVD
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City | CHURCH HILL
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State | TN
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Zip | 37642-3901
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Country | US
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Telephone | 423-357-7971
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Fax | 423-357-1376
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Provider Business Mailing Address
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Address Line | PO BOX 206
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City | CHURCH HILL
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State | TN
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Zip | 37642-0206
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Country | US
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Telephone | 423-357-7971
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Fax | 423-357-1376
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRED ARNOLD
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Credential |
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Telephone | 423-357-6010
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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 | EMS0000003701
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License Number State | TN
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