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General NPI Number Information
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NPI Number | 1265860431
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Entity Type | Organization
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Legal Business Name | CAROLINA EMERGENCY CARE
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Dates
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Enumeration Date | 10/24/2013
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Last Update Date | 12/30/2013
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Provider Practice Location Address
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Address Line | 1448 S LAKE DR
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City | LEXINGTON
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State | SC
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Zip | 29073-8356
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Country | US
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Telephone | 803-399-8247
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Fax | 803-399-8230
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Provider Business Mailing Address
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Address Line | 1448 S LAKE DR
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City | LEXINGTON
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State | SC
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Zip | 29073-8356
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Country | US
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Telephone | 803-399-8247
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Fax | 803-399-8230
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | ANDREW RUHAAK KLIE
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Credential | NREMT-P
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Telephone | 803-960-0762
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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 | 335
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License Number State | SC
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