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General NPI Number Information
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NPI Number | 1649558768
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Entity Type | Organization
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Legal Business Name | UNION GENERAL AMBULANCE SERVICE INC.
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 94 WEAVER RD
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-3133
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Country | US
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Telephone | 706-439-6493
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Fax | 706-439-6452
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Provider Business Mailing Address
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Address Line | 94 WEAVER RD
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-3133
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Country | US
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Telephone | 706-439-6493
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Fax | 706-439-6452
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Authorized Official
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Title or Position | DIRECTOR
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Name | WESLEY ROGERS
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Credential |
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Telephone | 706-781-1805
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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 |
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License Number State |
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