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General NPI Number Information
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NPI Number | 1245493592
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Entity Type | Organization
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Legal Business Name | ANSONVILLE RESCUE & AMBULANCE
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 9145 US HWY 52N
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City | ANSONVILLE
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State | NC
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Zip | 28007-0000
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Country | US
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Telephone | 704-826-1079
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Fax | 704-826-6370
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Provider Business Mailing Address
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Address Line | PO BOX 444
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City | ANSONVILLE
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State | NC
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Zip | 28007-0000
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Country | US
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Telephone | 704-826-1079
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Fax | 704-826-6370
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Authorized Official
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Title or Position | CHIEF
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Name | MR. BOBBY SIKES
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Credential |
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Telephone | 704-694-8548
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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 | 1007
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License Number State | NC
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