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General NPI Number Information
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NPI Number | 1285619742
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Entity Type | Organization
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Legal Business Name | FAST AMBULANCE SERVICE AND TRANSPORTATION LLC.
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 04/13/2010
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Provider Practice Location Address
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Address Line | 802 S MAIN ST
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City | HAMBURG
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State | AR
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Zip | 71646-3518
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Country | US
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Telephone | 870-853-8016
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Fax | 870-853-9999
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Provider Business Mailing Address
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Address Line | 249 LINDER RD
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City | HAMBURG
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State | AR
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Zip | 71646-9527
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Country | US
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Telephone | 870-853-8016
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Fax | 870-853-9999
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | STEVEN S SMITH
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Credential | PARAMEDIC
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Telephone | 870-853-8016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 403
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License Number State | AR
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