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General NPI Number Information
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NPI Number | 1477583672
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Entity Type | Organization
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Legal Business Name | BUTLER MEDICAL TRANSPORT, LLC
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 3108 LORD BALTIMORE DR STE 100
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City | WINDSOR MILL
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State | MD
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Zip | 21244-5807
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Country | US
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Telephone | 410-602-4007
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Fax | 410-602-4006
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Provider Business Mailing Address
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Address Line | 3108 LORD BALTIMORE DR STE 100
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City | WINDSOR MILL
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State | MD
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Zip | 21244-5807
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Country | US
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Telephone | 410-602-4007
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Fax | 410-602-4006
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. WILLIAM ROSENBERG
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Credential | M.S., NRP, CCEMT-P
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Telephone | 410-602-4007
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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 | 105
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License Number State | MD
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