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General NPI Number Information
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NPI Number | 1144592262
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Entity Type | Organization
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Legal Business Name | MEDTRUST MEDICAL SERVICES INC.
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Dates
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Enumeration Date | 02/05/2012
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Last Update Date | 02/05/2012
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Provider Practice Location Address
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Address Line | 144 REED LN STE A
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City | SNEEDVILLE
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State | TN
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Zip | 37869-6457
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Country | US
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Telephone | 423-839-5314
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Fax | 877-536-6917
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Provider Business Mailing Address
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Address Line | 144 REED LN STE A
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City | SNEEDVILLE
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State | TN
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Zip | 37869-6457
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Country | US
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Telephone | 423-839-5314
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Fax | 877-536-6917
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER M RODES
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Credential | A.A.S
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Telephone | 423-839-5314
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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 | 666950
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License Number State | TN
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