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General NPI Number Information
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NPI Number | 1265858948
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Entity Type | Organization
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Legal Business Name | E. A. RESOURCES, INC
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 1395 US HIGHWAY 60 W
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City | MORGANFIELD
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State | KY
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Zip | 42437-6294
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Country | US
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Telephone | 270-952-1452
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Fax | 270-389-2499
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Provider Business Mailing Address
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Address Line | 1395 US HIGHWAY 60 W P. O. BOX 143
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City | MORGANFIELD
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State | KY
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Zip | 42437-6294
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Country | US
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Telephone | 270-952-1452
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Fax | 270-389-2499
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY JO ADAMS
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Credential | R. N.
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Telephone | 270-952-1452
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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 | A93-168-543
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License Number State | KY
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