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General NPI Number Information
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NPI Number | 1568063709
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Entity Type | Organization
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Legal Business Name | ACT MEDICAL TRANSPORT SERVICES LLC
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 316 POPLAR ST EXT
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City | TRAVELERS REST
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State | SC
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Zip | 29690
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Country | US
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Telephone | 864-613-5900
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Fax | 864-689-1202
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Provider Business Mailing Address
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Address Line | P.O BOX 1448
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City | TRAVELERS REST
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State | SC
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Zip | 29690
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Country | US
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Telephone | 864-613-5900
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Fax | 864-689-1202
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Authorized Official
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Title or Position | CEO
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Name | LYDELL V GRAY
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Credential |
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Telephone | 864-351-9274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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