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NPI 1487526687

NPI 1487526687 : GOLDEN CARE MEDICAL TRANSPORT CORP : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1487526687
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOLDEN CARE MEDICAL TRANSPORT CORP 
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Dates
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    Enumeration Date     |    09/18/2025
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    Last Update Date     |    09/18/2025
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Provider Practice Location Address
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    Address Line         |    3772 PLEASANTDALE RD STE 148 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30340-5678
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    Country              |    US
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    Telephone            |    770-344-7696
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3772 PLEASANTDALE RD STE 148 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30340-5678
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    Country              |    US
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    Telephone            |    770-344-7696
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     SHIRMAUL ANDREW WILSON 
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    Credential           |    
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    Telephone            |    770-344-7696
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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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