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General NPI Number Information
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NPI Number | 1598561110
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Entity Type | Organization
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Legal Business Name | PRIMECO TRANSPORT
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 113 ATKINSON ST
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City | LATTA
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State | SC
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Zip | 29565-1857
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Country | US
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Telephone | 843-729-2862
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Fax | 843-771-9425
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Provider Business Mailing Address
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Address Line | 113 ATKINSON ST
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City | LATTA
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State | SC
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Zip | 29565-1857
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Country | US
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Telephone | 843-729-2862
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Fax | 843-771-9425
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Authorized Official
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Title or Position | OWNER
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Name | MR. LEE PAIGE
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Credential |
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Telephone | 843-729-2862
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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 |
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License Number State |
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