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General NPI Number Information
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NPI Number | 1649510918
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Entity Type | Organization
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Legal Business Name | MED STAT AMBULANCE LLC
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1022 SAMSONITE BLVD SUITE B
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City | MURFREESBORO
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State | TN
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Zip | 37129-4233
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Country | US
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Telephone | 615-927-0770
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Fax | 615-904-0303
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Provider Business Mailing Address
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Address Line | 136 WINSTEAD LN
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City | MANCHESTER
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State | TN
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Zip | 37355-3113
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Country | US
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Telephone | 407-414-4214
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Fax | 615-904-0303
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Authorized Official
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Title or Position | DIRECTOR
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Name | AARON M WASIK
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Credential |
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Telephone | 407-414-4214
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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 | 10212
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License Number State | TN
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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 | 10211
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License Number State | TN
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