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General NPI Number Information
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NPI Number | 1528429404
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Entity Type | Organization
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Legal Business Name | CARE FIRST EMS
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 3337 HOLTON CHAPEL RD
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City | SOPERTON
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State | GA
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Zip | 30457-7262
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Country | US
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Telephone | 912-590-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 3337 HOLTON CHAPEL RD
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City | SOPERTON
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State | GA
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Zip | 30457-7262
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Country | US
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Telephone | 912-590-2210
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STACY LENORE SMITH
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Credential | EMT-P
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Telephone | 912-590-2210
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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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