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General NPI Number Information
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NPI Number | 1518064674
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Entity Type | Organization
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Legal Business Name | AMTBUTRAN MEDICAL TRANSPORT, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 3013 RAINBOW DR SUITE B
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City | DECATUR
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State | GA
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Zip | 30034-1677
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Country | US
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Telephone | 404-243-6600
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Fax | 404-243-6065
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Provider Business Mailing Address
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Address Line | 3013 RAINBOW DR SUITE B
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City | DECATUR
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State | GA
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Zip | 30034-1677
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Country | US
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Telephone | 404-243-6600
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Fax | 404-243-6065
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Authorized Official
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Title or Position | CEO
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Name | MS. LINDA HARRIS
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Credential | MBA
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Telephone | 404-243-6600
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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 | 44-26
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License Number State | GA
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