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General NPI Number Information
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NPI Number | 1235836719
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Entity Type | Organization
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Legal Business Name | MOUNTAIN AREA GROUND NON-EMERGENCY TRANSPORTATION LLC
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Dates
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Enumeration Date | 02/14/2023
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 1095 HENDERSONVILLE RD STE C-5
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City | ASHEVILLE
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State | NC
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Zip | 28803-1891
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Country | US
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Telephone | 828-782-0503
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1851
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City | WEAVERVILLE
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State | NC
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Zip | 28787-1851
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Country | US
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Telephone | 828-782-0503
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TONY CAMPBELL
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Credential |
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Telephone | 828-713-6369
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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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