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General NPI Number Information
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NPI Number | 1710934617
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Entity Type | Organization
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Legal Business Name | CARILION CLINIC PATIENT TRANSPORTATION, LLC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 431 MCCLANAHAN ST. SW
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City | ROANOKE
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State | VA
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Zip | 24014-1756
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Country | US
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Telephone | 540-981-8731
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Fax | 540-344-5674
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Provider Business Mailing Address
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Address Line | P.O. BOX 11865
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City | ROANOKE
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State | VA
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Zip | 24022
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Country | US
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Telephone | 540-981-8731
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Fax | 540-344-5674
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Authorized Official
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Title or Position | EVP. TREASURER
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Name | MR. DONALD E LORTON
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Credential |
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Telephone | 540-224-5125
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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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Taxonomy #3
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 468
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 468
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License Number State | VA
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