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General NPI Number Information
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NPI Number | 1548462211
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Entity Type | Organization
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Legal Business Name | AMERICAN AMBULANCE SERVCIE
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 51 W 2ND ST
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City | FALKVILLE
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State | AL
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Zip | 35622-5009
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Country | US
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Telephone | 256-737-7280
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Fax | 256-737-0845
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Provider Business Mailing Address
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Address Line | 1192 CULVER RD
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City | FALKVILLE
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State | AL
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Zip | 35622-0000
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Country | US
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Telephone | 256-737-7280
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Fax | 256-737-0845
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Authorized Official
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Title or Position | CEO
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Name | MR. RANDY E WILSON
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Credential | CEO EMTP
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Telephone | 256-739-8530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 802
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License Number State | AL
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