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General NPI Number Information
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NPI Number | 1316251986
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Entity Type | Organization
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Legal Business Name | RIVER HILLS EMERGENCY SQUAD INC
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 4 HERITAGE DR
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City | LAKE WYLIE
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State | SC
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Zip | 29710-9203
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Country | US
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Telephone | 803-322-0227
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Fax | 803-831-9888
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Provider Business Mailing Address
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Address Line | 4 HERITAGE DR
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City | LAKE WYLIE
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State | SC
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Zip | 29710-9203
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Country | US
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Telephone | 803-322-0227
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Fax | 803-831-9888
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. RICHARD MANN
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Credential |
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Telephone | 803-322-0227
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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 | 150
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License Number State | SC
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