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General NPI Number Information
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NPI Number | 1366807646
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Entity Type | Organization
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Legal Business Name | FAST TRACK EMS LLC
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 1140 KEMPSVILLE RD
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City | CHESAPEAKE
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State | VA
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Zip | 23320-8127
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Country | US
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Telephone | 757-347-1226
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Fax | 757-776-0439
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Provider Business Mailing Address
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Address Line | 1140 KEMPSVILLE RD
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City | CHESAPEAKE
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State | VA
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Zip | 23320-8127
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Country | US
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Telephone | 757-347-1226
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Fax | 757-776-0439
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Authorized Official
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Title or Position | MEMBER / OWNER
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Name | MR. JAMES HUNTER STAFFORD
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Credential | PARAMEDIC
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Telephone | 757-406-0809
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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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