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General NPI Number Information
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NPI Number | 1750514196
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Entity Type | Organization
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Legal Business Name | EMPACT AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 109 THREET INDUSTRIAL RD SUITE 7
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City | SMYRNA
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State | TN
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Zip | 37167-6842
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Country | US
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Telephone | 615-223-5995
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Fax | 615-223-5651
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Provider Business Mailing Address
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Address Line | PO BOX 788
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City | SMYRNA
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State | TN
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Zip | 37167-0788
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Country | US
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Telephone | 615-223-5995
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Fax | 615-223-5651
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | PATRICK O'NEILL
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Credential |
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Telephone | 615-971-0663
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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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