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General NPI Number Information
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NPI Number | 1285672659
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Entity Type | Organization
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Legal Business Name | MED-TECH EMS OF CONWAY CO, INC.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 10 MEDICAL SERVICES DR
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City | MORRILTON
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State | AR
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Zip | 72110-4518
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Country | US
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Telephone | 501-354-8181
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Fax | 501-354-1420
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Provider Business Mailing Address
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Address Line | 10 MEDICAL SERVICES DR
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City | MORRILTON
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State | AR
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Zip | 72110-4518
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Country | US
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Telephone | 501-354-8181
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Fax | 501-354-1420
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DENISE MARGO CARSON
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Credential | RN, EMT-I
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Telephone | 501-354-8181
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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 | 805
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License Number State | AR
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