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General NPI Number Information
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NPI Number | 1336088301
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Entity Type | Organization
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Legal Business Name | SHOALS AMBULANCE LLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 5907 E HIGHWAY 22
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City | PANAMA CITY
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State | FL
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Zip | 32404-6423
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Country | US
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Telephone | 850-759-0926
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 660884
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City | DALLAS
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State | TX
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Zip | 75266-0884
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Country | US
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Telephone | 844-597-4911
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Fax |
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Authorized Official
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Title or Position | CHIEF REVENUE INTEGRATION OFFICER
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Name | ROBERT A JEWELL
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Credential |
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Telephone | 844-597-4911
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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 |
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License Number State |
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