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General NPI Number Information
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NPI Number | 1407906563
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Entity Type | Organization
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Legal Business Name | ADVANCED EMERGENCY MEDICAL SERVICES INC.
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 11/20/2017
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Provider Practice Location Address
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Address Line | 900 SHREVEPORT RD
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City | MINDEN
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State | LA
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Zip | 71055-3832
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Country | US
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Telephone | 318-382-0380
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Fax | 318-382-0383
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Provider Business Mailing Address
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Address Line | 900 SHREVEPORT RD
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City | MINDEN
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State | LA
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Zip | 71055-3832
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Country | US
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Telephone | 318-382-0380
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Fax | 318-382-0383
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Authorized Official
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Title or Position | OWNER
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Name | GARY JONES
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Credential |
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Telephone | 318-382-0380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 9110071
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License Number State | LA
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