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General NPI Number Information
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NPI Number | 1538386412
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Entity Type | Organization
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Legal Business Name | MILTON AMBULANCE SERVICE INC.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 860 MAYFIELD RD
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City | ALPHARETTA
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State | GA
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Zip | 30004-1036
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Country | US
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Telephone | 770-521-2282
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 268945
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-8945
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Country | US
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Telephone | 770-521-2282
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MIKE HUNTER
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Credential |
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Telephone | 678-733-6645
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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 | 060-73
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License Number State | GA
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