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General NPI Number Information
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NPI Number | 1700925641
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Entity Type | Organization
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Legal Business Name | ANGELCARE AMBULANCE SERVICE
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 660 WEST MAIN STREET
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City | ABINGDON
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State | VA
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Zip | 24212
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Country | US
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Telephone | 276-628-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 660 WEST MAIN STREET
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City | ABINGDON
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State | VA
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Zip | 24212
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Country | US
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Telephone | 276-628-8424
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JACK KISER
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Credential |
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Telephone | 276-628-8424
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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 | VA
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