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General NPI Number Information
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NPI Number | 1265748545
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Entity Type | Organization
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Legal Business Name | EAST ALABAMA EMS, LLC
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 1405 PUMPHREY AVE
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City | AUBURN
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State | AL
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Zip | 36832-4326
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Country | US
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Telephone | 334-528-1147
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 PEPPERELL PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-5452
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Country | US
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Telephone | 334-528-1147
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DAN GOSLIN
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Credential |
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Telephone | 334-528-1147
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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 | 205
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License Number State | AL
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