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General NPI Number Information
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NPI Number | 1548605025
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Entity Type | Organization
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Legal Business Name | MEDEX MEDICAL TRANSPORT SERVICE, INC.
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Dates
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Enumeration Date | 05/09/2013
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 1501 N MEMORIAL DR
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City | GREENVILLE
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State | NC
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Zip | 27834-1202
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Country | US
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Telephone | 252-332-4555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 506
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City | AHOSKIE
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State | NC
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Zip | 27910-0506
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Country | US
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Telephone | 252-332-4555
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MELODY JUNE GREENE
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Credential |
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Telephone | 252-332-4555
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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 | 1752
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License Number State | NC
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