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General NPI Number Information
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NPI Number | 1285747949
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Entity Type | Organization
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Legal Business Name | ASHLEY MEDICAL TRANSPORT SERVICE
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 940 STEVENSON RD
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City | ABBEVILLE
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State | SC
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Zip | 29620
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Country | US
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Telephone | 864-446-8003
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Fax | 864-446-8006
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Provider Business Mailing Address
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Address Line | PO BOX 742
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City | ABBEVILLE
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State | SC
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Zip | 29620-0742
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Country | US
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Telephone | 864-446-8003
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Fax | 864-446-8006
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES RONNIE ASHLEY
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Credential |
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Telephone | 864-446-8003
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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 | 058
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License Number State | SC
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