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General NPI Number Information
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NPI Number | 1235387234
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Entity Type | Organization
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Legal Business Name | AMBUNET INC
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 1439 JOHNSONVILLE HIGHWAY
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City | LAKE CITY
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State | SC
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Zip | 29560-2523
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Country | US
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Telephone | 843-389-5840
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Fax |
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Provider Business Mailing Address
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Address Line | 1439 JOHNSONVILLE HIGHWAY
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City | LAKE CITY
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State | SC
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Zip | 29560-2523
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RANDY LEON ZANDERS JR.
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Credential |
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Telephone | 843-617-8796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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