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General NPI Number Information
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NPI Number | 1750612248
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Entity Type | Organization
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Legal Business Name | SAMARITAN AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 01/22/2010
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Provider Practice Location Address
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Address Line | 375 E. THIRD STREET
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City | WENDELL
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State | NC
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Zip | 27591-9708
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Country | US
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Telephone | 919-365-2911
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 204
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City | ZEBULON
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State | NC
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Zip | 27597-0204
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Country | US
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Telephone | 919-365-2911
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. GARLAND TANT
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Credential |
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Telephone | 919-365-1616
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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 | 0921570
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License Number State | NC
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