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General NPI Number Information
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NPI Number | 1609273416
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Entity Type | Organization
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Legal Business Name | MOUNTAIN STATES EMERGENCY MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 1230 S PARKER ROAD #100
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City | DENVER
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State | CO
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Zip | 80231
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Country | US
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Telephone | 469-565-2101
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 W EULESS BLVD #600
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City | EULESS
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State | TX
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Zip | 76040
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Country | US
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Telephone | 303-736-8950
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Fax | 720-307-3008
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL POWELL
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Credential |
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Telephone | 469-565-2101
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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 | CO
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | CO
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Taxonomy #3
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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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