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General NPI Number Information
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NPI Number | 1770859175
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Entity Type | Organization
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Legal Business Name | PROMPT AMBULANCE CENTRAL, INC.
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 1600 KEPNER DR SUITE E
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City | LAFAYETTE
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State | IN
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Zip | 47905-7427
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Country | US
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Telephone | 765-448-4327
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Fax | 765-448-4694
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Provider Business Mailing Address
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Address Line | 1600 KEPNER DRIVE SUITE E
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City | LAFAYETTE
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State | IN
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Zip | 47905
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Country | US
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Telephone | 765-448-4327
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Fax | 765-448-4694
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GARY T MILLER
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Credential |
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Telephone | 219-838-4444
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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 | 0150
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License Number State | IN
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