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General NPI Number Information
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NPI Number | 1760034623
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Entity Type | Organization
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Legal Business Name | HOSPITAL TO HOME MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 07/11/2019
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Provider Practice Location Address
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Address Line | 162 LUMPKIN COUNTY PKWY STE 2
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City | DAHLONEGA
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State | GA
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Zip | 30533-6683
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Country | US
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Telephone | 833-424-7433
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Fax |
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Provider Business Mailing Address
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Address Line | 6474 DAHLONEGA HWY
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City | CLERMONT
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State | GA
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Zip | 30527-1205
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Country | US
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Telephone | 770-851-0490
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Fax |
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | MELINDA SURFACE HARRINGTON
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Credential |
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Telephone | 833-424-7433
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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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Taxonomy #2
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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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