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General NPI Number Information
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NPI Number | 1326876905
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Entity Type | Organization
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Legal Business Name | LARK MEDICAL TRANSPORT
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 722 E 3RD ST
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City | ELK RAPIDS
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State | MI
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Zip | 49629-9402
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Country | US
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Telephone | 910-489-4729
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Fax |
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Provider Business Mailing Address
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Address Line | 722 E 3RD ST
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City | ELK RAPIDS
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State | MI
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Zip | 49629-9402
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Country | US
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Telephone | 910-489-4729
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OPERATIONS MANAGER
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Name | MR. BRIAN KELLY LARK II
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Credential | EMT-B, LPN
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Telephone | 910-489-4729
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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