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General NPI Number Information
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NPI Number | 1528698800
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Entity Type | Organization
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Legal Business Name | VETERANS AMBULANCE SERVICE LLC
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Dates
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Enumeration Date | 01/25/2020
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 41 PEABODY ST
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City | NASHVILLE
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State | TN
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Zip | 37210-2125
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Country | US
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Telephone | 629-200-5805
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 732
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City | ANTIOCH
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State | TN
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Zip | 37011-0732
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Country | US
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Telephone | 629-200-5805
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. ANDRE J. FLEMING
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Credential |
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Telephone | 629-200-5805
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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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