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General NPI Number Information
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NPI Number | 1255140901
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Entity Type | Organization
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Legal Business Name | GEORGIA MEDICAL EMS LP
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 2295 PARKLAKE DR NE STE 557
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City | ATLANTA
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State | GA
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Zip | 30345-2951
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Country | US
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Telephone | 678-779-0433
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Fax |
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Provider Business Mailing Address
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Address Line | 17000 BISSONNET ST APT 1315
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City | RICHMOND
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State | TX
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Zip | 77407-3669
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Country | US
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Telephone | 678-779-0433
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUITIVE OFFICE
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Name | ERICA RODNEY
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Credential |
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Telephone | 678-779-0433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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