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General NPI Number Information
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NPI Number | 1164922670
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Entity Type | Organization
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Legal Business Name | AMERICHAIR TRANSPORT SERVICE INC.
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 701 28TH AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-3630
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Country | US
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Telephone | 727-201-0075
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Fax | 727-209-3397
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Provider Business Mailing Address
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Address Line | 701 28TH AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-3630
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Country | US
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Telephone | 727-201-0075
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Fax | 727-209-3397
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. CHRISTOPHER CORNELIUS CLARK
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Credential |
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Telephone | 727-201-0075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 00056660
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License Number State | FL
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