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General NPI Number Information
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NPI Number | 1487139531
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Entity Type | Organization
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Legal Business Name | DELTA EMS
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 26023 HIGHWAY 69 E
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City | TRUMANN
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State | AR
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Zip | 72472-9766
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Country | US
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Telephone | 870-919-9738
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Fax | 870-483-2531
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Provider Business Mailing Address
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Address Line | PO BOX 392
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City | TRUMANN
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State | AR
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Zip | 72472-0392
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Country | US
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Telephone | 870-919-9738
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Fax | 870-483-2531
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES HICKEY
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Credential |
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Telephone | 870-919-9738
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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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