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General NPI Number Information
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NPI Number | 1649071507
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Entity Type | Organization
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Legal Business Name | GREYHOUNDS MEDICAL TRANSPORT LLC WILLIAM LIONEL EDISON SOLE MBR
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 250 LANGLEY DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-6940
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Country | US
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Telephone | 404-503-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 250 LANGLEY DR STE 1105B
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-6932
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Country | US
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Telephone | 404-503-6000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. WILLIAM L EDISON
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Credential | NRP
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Telephone | 404-503-6000
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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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Taxonomy #2
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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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