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NPI 1467893271

NPI 1467893271 : AMERICAN EMS : DOUGLASVILLE, GA

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General NPI Number Information
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    NPI Number           |    1467893271
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERICAN EMS 
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Dates
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    Enumeration Date     |    07/09/2013
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    Last Update Date     |    07/09/2018
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Provider Practice Location Address
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    Address Line         |    7240 BANKHEAD HWY 
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    City                 |    DOUGLASVILLE
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    State                |    GA
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    Zip                  |    30134
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    Country              |    US
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    Telephone            |    770-489-2131
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    Fax                  |    770-489-2132
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Provider Business Mailing Address
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    Address Line         |    4480 S COBB DR SE STE H332 
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    City                 |    SMYRNA
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    State                |    GA
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    Zip                  |    30080-6990
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    Country              |    US
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    Telephone            |    770-489-2131
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    Fax                  |    770-489-2132
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     WISSAM  ZANHAR 
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    Credential           |    
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    Telephone            |    770-710-3959
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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       |    048-07
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    License Number State |    GA
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