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General NPI Number Information
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NPI Number | 1205284031
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Entity Type | Organization
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Legal Business Name | 1ST CARE AMBULANCE SERVICE LLC
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 510 PLAZA DR STE 1810
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City | ATLANTA
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State | GA
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Zip | 30349-6021
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Country | US
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Telephone | 404-366-1367
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Fax | 404-366-6367
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Provider Business Mailing Address
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Address Line | 531 FOREST PKWY 240
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City | FOREST PARK
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State | GA
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Zip | 30297-2184
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Country | US
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Telephone | 404-366-1367
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Fax | 404-608-9367
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Authorized Official
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Title or Position | MANAGER
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Name | MR. KEITH LOWE JR.
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Credential | EMT-I
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Telephone | 678-463-8352
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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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