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General NPI Number Information
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NPI Number | 1225403173
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL TRANSPORTATION INC
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Dates
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Enumeration Date | 12/03/2015
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Last Update Date | 12/03/2015
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Provider Practice Location Address
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Address Line | 580 S CEMETERY ST
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City | NORCROSS
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State | GA
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Zip | 30071-4237
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Country | US
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Telephone | 770-559-1982
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Fax |
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Provider Business Mailing Address
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Address Line | 580 S CEMETERY ST
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City | NORCROSS
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State | GA
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Zip | 30071-4237
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Country | US
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Telephone | 770-559-1982
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MELANIE RANKIN
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Credential |
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Telephone | 404-337-5394
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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 | 15081718
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License Number State | GA
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