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General NPI Number Information
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NPI Number | 1376538603
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Entity Type | Organization
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Legal Business Name | MED-CARE AMBULANCE, INC.
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 5275 RALEIGH LAGRANGE
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City | MEMPHIS
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State | TN
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Zip | 38134
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Country | US
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Telephone | 901-685-2212
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Fax |
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Provider Business Mailing Address
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Address Line | 5275 RALEIGH LAGRANGE
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City | MEMPHIS
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State | TN
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Zip | 38134
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Country | US
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Telephone | 901-685-2212
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JAKE FARLEY
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Credential |
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Telephone | 901-282-9079
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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 | 9953
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License Number State | TN
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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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