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General NPI Number Information
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NPI Number | 1487080511
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Entity Type | Organization
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Legal Business Name | ABSOLUTE CARE MEDICAL TRANSPORT INC.
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 804 SAINT JOHN MILLENNIUM RD
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City | AULANDER
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State | NC
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Zip | 27805-9701
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Country | US
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Telephone | 252-642-7093
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Fax |
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Provider Business Mailing Address
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Address Line | 804 SAINT JOHN MILLENNIUM RD
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City | AULANDER
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State | NC
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Zip | 27805-9701
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Country | US
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Telephone | 252-642-7093
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MISS JANICE MARIE GOODMAN
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Credential | EMT-INTERMEDIATE
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Telephone | 252-642-7093
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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 |
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License Number State |
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