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General NPI Number Information
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NPI Number | 1265463533
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Entity Type | Organization
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Legal Business Name | GENERAL AMBULANCE WASHINGTON, INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | RR 1 BOX 218
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City | OAK HILL
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State | WV
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Zip | 25901-9596
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Country | US
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Telephone | 304-465-8995
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Fax | 304-465-1039
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Provider Business Mailing Address
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Address Line | RR 1 BOX 218
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City | OAK HILL
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State | WV
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Zip | 25901-9596
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Country | US
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Telephone | 304-465-8995
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Fax | 304-465-1039
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | KIMBERLY B LIGHT
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Credential |
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Telephone | 304-465-8995
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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 | WV
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