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General NPI Number Information
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NPI Number | 1740016328
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Entity Type | Organization
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Legal Business Name | COVENANT HEALTH EMS, LLC
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 550 FORT SUMMIT WAY FL 3
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City | KNOXVILLE
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State | TN
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Zip | 37915-2146
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Country | US
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Telephone | 865-331-0014
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Fax |
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Provider Business Mailing Address
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Address Line | 550 FORT SUMMIT WAY FL 3
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City | KNOXVILLE
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State | TN
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Zip | 37915-2146
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Country | US
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Telephone | 865-331-0014
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF EMS
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Name | DANNY L MCCREARY
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Credential |
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Telephone | 865-617-9328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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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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