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General NPI Number Information
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NPI Number | 1558416206
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Entity Type | Organization
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Legal Business Name | TRANSMED AMBULANCE SERVICE LLC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1530 N FANT ST UNIT A
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City | ANDERSON
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State | SC
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Zip | 29621-4700
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Country | US
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Telephone | 888-488-8911
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Fax | 843-545-7911
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Provider Business Mailing Address
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Address Line | PO BOX 595
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City | GEORGETOWN
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State | SC
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Zip | 29442-0595
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Country | US
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Telephone | 864-888-4888
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. KIRK BURGIN
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Credential |
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Telephone | 843-458-4424
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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 | 178
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License Number State | SC
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