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General NPI Number Information
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NPI Number | 1518231018
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Entity Type | Organization
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Legal Business Name | STAT EMS LLC
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 664 BLUE POINT RD
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City | HOLTSVILLE
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State | NY
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Zip | 11742-1814
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Country | US
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Telephone | 631-447-2800
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Fax | 631-447-2808
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Provider Business Mailing Address
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Address Line | 664 BLUE POINT RD
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City | HOLTSVILLE
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State | NY
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Zip | 11742-1814
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Country | US
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Telephone | 631-447-2800
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Fax | 631-447-2808
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Authorized Official
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Title or Position | CEO
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Name | JONNY COLIN
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Credential |
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Telephone | 973-812-7271
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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 | 30374
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License Number State | NY
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