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General NPI Number Information
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NPI Number | 1366698151
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Entity Type | Organization
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Legal Business Name | PREMIER CARRIER
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Dates
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Enumeration Date | 08/12/2008
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 3290 MCCORKLE RD
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City | MEMPHIS
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State | TN
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Zip | 38116-3022
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Country | US
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Telephone | 901-674-5900
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Fax | 901-332-6600
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Provider Business Mailing Address
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Address Line | PO BOX 9216
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City | MEMPHIS
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State | TN
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Zip | 38190-0216
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Country | US
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Telephone | 901-674-5900
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Fax | 901-332-6600
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RUBYE J MURPHY
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Credential |
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Telephone | 901-674-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 108000334
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License Number State | TN
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