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General NPI Number Information
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NPI Number | 1336458629
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Entity Type | Organization
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Legal Business Name | 1ST ADVANCED EMS LLC
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 723 N JAMES RD
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City | COLUMBUS
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State | OH
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Zip | 43219-1839
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Country | US
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Telephone | 614-348-9991
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Fax | 614-348-9991
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Provider Business Mailing Address
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Address Line | 723 N JAMES RD
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City | COLUMBUS
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State | OH
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Zip | 43219-1839
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Country | US
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Telephone | 614-348-9991
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Fax | 614-348-9991
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Authorized Official
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Title or Position | OWNER
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Name | LYUDMILA G KIMKHE
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Credential |
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Telephone | 614-348-9991
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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 | 250012
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License Number State | OH
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