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General NPI Number Information
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NPI Number | 1144764655
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Entity Type | Organization
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Legal Business Name | APPALACHIAN MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 2420 EASTGATE PL # F-500
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City | SNELLVILLE
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State | GA
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Zip | 30078-6199
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Country | US
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Telephone | 404-424-3268
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Fax | 470-719-9220
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Provider Business Mailing Address
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Address Line | 2420 EASTGATE PL # F-500
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City | SNELLVILLE
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State | GA
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Zip | 30078-6199
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Country | US
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Telephone | 404-424-3268
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Fax | 470-719-9220
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Authorized Official
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Title or Position | OWNER
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Name | MR. BENJAMIN SCOTT LEE
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Credential |
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Telephone | 770-802-4115
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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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