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General NPI Number Information
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NPI Number | 1821037755
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Entity Type | Organization
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Legal Business Name | ANNISTON EMERG MED SVCS
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 08/02/2007
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Provider Practice Location Address
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Address Line | 1501 NOBLE ST
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City | ANNISTON
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State | AL
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Zip | 36201-3836
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Country | US
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Telephone | 256-236-6005
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Fax | 256-241-0015
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Provider Business Mailing Address
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Address Line | 1501 NOBLE ST
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City | ANNISTON
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State | AL
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Zip | 36201-3836
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Country | US
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Telephone | 256-236-6005
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Fax | 256-241-0015
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHNNY RAY WARREN
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Credential |
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Telephone | 256-236-6005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 4453
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License Number State | AL
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