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General NPI Number Information
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NPI Number | 1356816680
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Entity Type | Organization
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Legal Business Name | SOUTH WESTERN AMBULANCE SERVICE LLC
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Dates
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Enumeration Date | 10/13/2018
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 6161 BUSCH BLVD STE 84
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City | COLUMBUS
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State | OH
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Zip | 43229-2548
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Country | US
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Telephone | 614-348-2852
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Fax | 866-390-4835
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Provider Business Mailing Address
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Address Line | 6161 BUSCH BLVD SUIT 84
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City | COLUMBUS
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State | OH
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Zip | 43224
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Country | US
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Telephone | 614-348-2852
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANWAR K ADAM
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Credential |
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Telephone | 614-348-2852
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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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Taxonomy #2
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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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