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General NPI Number Information
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NPI Number | 1699251884
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Entity Type | Organization
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Legal Business Name | ENRICHING MEDICAL TRANSPORT
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 2260 LITHONIA INDUSTRIAL BLVD. STE N-B
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City | LITHONIA
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State | GA
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Zip | 30058
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Country | US
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Telephone | 404-556-0017
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Fax | 770-482-0148
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Provider Business Mailing Address
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Address Line | 2260 LITHONIA INDUSTRIAL BLVD. STE N-B
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City | LITHONIA
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State | GA
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Zip | 30058
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Country | US
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Telephone | 404-556-0017
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Fax | 770-482-0148
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Authorized Official
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Title or Position | V/P
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Name | MR. PAUL A ASKEW JR.
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Credential | NREMT-P
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Telephone | 404-556-0017
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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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