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NPI 1578982286

NPI 1578982286 : AMERICAN EMS, LLC : MASSILLON, OH

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General NPI Number Information
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    NPI Number           |    1578982286
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERICAN EMS, LLC 
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Dates
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    Enumeration Date     |    04/09/2014
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    Last Update Date     |    04/09/2014
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Provider Practice Location Address
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    Address Line         |    1310 ERIE ST S 
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    City                 |    MASSILLON
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    State                |    OH
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    Zip                  |    44646-7906
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    Country              |    US
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    Telephone            |    330-937-9806
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1310 ERIE ST S 
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    City                 |    MASSILLON
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    State                |    OH
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    Zip                  |    44646-7906
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    Country              |    US
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    Telephone            |    330-937-9806
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    Fax                  |    
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Authorized Official
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    Title or Position    |    BOARD MEMBER
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    Name                 |     JOHN  HENRICKSEN 
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    Credential           |    
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    Telephone            |    330-837-9806
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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       |    
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    License Number State |    
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