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General NPI Number Information
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NPI Number | 1588949267
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Entity Type | Organization
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Legal Business Name | SOUTHWEST AMBULANCE SERVICE LLC
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 10746 NORTON-COEBURN RD
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City | COEBURN
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State | VA
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Zip | 24230-6410
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Country | US
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Telephone | 276-807-7359
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Fax | 276-807-7451
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Provider Business Mailing Address
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Address Line | PO BOX 3668
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City | WISE
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State | VA
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Zip | 24293-3668
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Country | US
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Telephone | 276-807-7359
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Fax | 276-807-7451
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANGELA P RAMEY
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Credential |
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Telephone | 276-807-7359
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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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