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General NPI Number Information
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NPI Number | 1437953320
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Entity Type | Organization
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Legal Business Name | SWIFT EMERGENCY MEDICAL SERVICES INC
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 102 KEITH RD
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City | BONAIRE
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State | GA
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Zip | 31005-4112
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Country | US
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Telephone | 478-714-3612
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Fax |
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Provider Business Mailing Address
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Address Line | 102 KEITH RD
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City | BONAIRE
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State | GA
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Zip | 31005-4112
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Country | US
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Telephone | 478-714-3612
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | JACOB C MCCULLOUGH
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Credential |
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Telephone | 478-714-3612
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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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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