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General NPI Number Information
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NPI Number | 1629016274
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Entity Type | Organization
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Legal Business Name | RICHMOND LENOX EMS AMBULANCE AUTHORITY
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 34505 32 MILE RD
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City | RICHMOND
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State | MI
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Zip | 48062-1557
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Country | US
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Telephone | 586-727-2184
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Fax | 586-727-5050
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Provider Business Mailing Address
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Address Line | 34505 32 MILE RD
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City | RICHMOND
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State | MI
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Zip | 48062-1557
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Country | US
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Telephone | 586-727-2184
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Fax | 586-727-5050
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | JEFFERY RALPH WHITE
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Credential |
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Telephone | 586-727-2184
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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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