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General NPI Number Information
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NPI Number | 1609195015
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Entity Type | Organization
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Legal Business Name | GUARDIAN EMERGENCY MEDICAL SERVICES
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 05/25/2010
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Provider Practice Location Address
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Address Line | 18991 E CLEAR CREEK DR
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City | PARKER
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State | CO
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Zip | 80134-4837
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Country | US
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Telephone | 303-945-4623
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Fax |
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Provider Business Mailing Address
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Address Line | 18991 E CLEAR CREEK DR
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City | PARKER
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State | CO
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Zip | 80134-4837
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Country | US
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Telephone | 303-945-4623
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSHUA KEVIN WARNER
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Credential | CO-EMT-PARAMEDIC
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Telephone | 970-691-2327
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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 | 20101040350
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License Number State | CO
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