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General NPI Number Information
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NPI Number | 1225305964
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Entity Type | Organization
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Legal Business Name | AMTRAN MEDICAL TRANSPORT INC
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 1611 MARTHA BERRY BLVD NW
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City | ROME
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State | GA
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Zip | 30165-1621
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Country | US
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Telephone | 706-291-0043
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Fax | 706-622-2157
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Provider Business Mailing Address
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Address Line | PO BOX 676
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City | ROME
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State | GA
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Zip | 30162-0676
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Country | US
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Telephone | 706-291-0043
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROGER DUNCAN
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Credential |
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Telephone | 706-291-0043
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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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