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General NPI Number Information
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NPI Number | 1154594927
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Entity Type | Organization
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Legal Business Name | TRANS MED AMBULANCE, LLC
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 211 S ANDERSON ST POST OFFICE BOX 297
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City | TULLAHOMA
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State | TN
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Zip | 37388-3735
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Country | US
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Telephone | 931-455-2535
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 297
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City | TULLAHOMA
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State | TN
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Zip | 37388-0297
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Country | US
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Telephone | 931-455-2535
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JIMMY E HENDERLIGHT JR.
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Credential |
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Telephone | 931-455-2535
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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 |
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License Number State |
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