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General NPI Number Information
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NPI Number | 1538264262
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Entity Type | Organization
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Legal Business Name | PALADIN MEDICAL TRANSPORT, INC.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | 1201 W. THIRD STREET
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City | FARMVILLE
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State | VA
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Zip | 23901-2646
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Country | US
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Telephone | 434-315-5620
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Fax | 434-315-5840
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Provider Business Mailing Address
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Address Line | 1201 W. THIRD STREET
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City | FARMVILLE
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State | VA
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Zip | 23901-2646
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Country | US
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Telephone | 434-315-5620
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Fax | 434-315-5840
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KAREN M HADDAWAY
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Credential |
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Telephone | 434-315-5620
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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 | VA
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1261
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License Number State | VA
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