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General NPI Number Information
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NPI Number | 1235149030
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Entity Type | Organization
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Legal Business Name | DAVIS AMBULANCE ENTERPRISES, INC.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 06/29/2009
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Provider Practice Location Address
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Address Line | 3987 BACK HAMPDEN SYDNEY RD
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City | FARMVILLE
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State | VA
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Zip | 23901-5531
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Country | US
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Telephone | 434-223-8807
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 140
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City | FARMVILLE
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State | VA
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Zip | 23901-0140
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Country | US
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Telephone | 434-223-8807
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE L DAVIS
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Credential |
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Telephone | 434-223-8807
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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 | 179
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License Number State | VA
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