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General NPI Number Information
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NPI Number | 1538878624
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Entity Type | Organization
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Legal Business Name | LEGACY EMS, INC.
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 538 WYTHE CREEK RD
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City | POQUOSON
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State | VA
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Zip | 23662-1569
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Country | US
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Telephone | 844-886-3339
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 527
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City | MELVILLE
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State | LA
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Zip | 71353-0527
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Country | US
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Telephone | 337-623-0056
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Fax | 337-623-2709
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Authorized Official
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Title or Position | AR SPECIALIST
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Name | STEPHANIE KENNEDY
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Credential |
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Telephone | 337-623-0056
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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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