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General NPI Number Information
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NPI Number | 1538238936
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Entity Type | Organization
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Legal Business Name | PIEDMONT EMERGENCY RESCUE
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 121 W LADIGA ST
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City | PIEDMONT
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State | AL
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Zip | 36272
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Country | US
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Telephone | 256-447-3089
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Fax | 256-447-3085
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Provider Business Mailing Address
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Address Line | PO BOX 333
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City | PIEDMONT
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State | AL
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Zip | 36272-0333
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Country | US
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Telephone | 256-447-3089
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Fax | 256-447-3085
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MR. JAMEY SPENCER
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Credential | NR CCEMTP
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Telephone | 256-447-3089
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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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