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General NPI Number Information
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NPI Number | 1821861311
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Entity Type | Organization
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Legal Business Name | FIRST CARE MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 2227 REHOBOTH ROAD EXT
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City | BOWMAN
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State | GA
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Zip | 30624-3013
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Country | US
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Telephone | 706-498-3661
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Fax |
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Provider Business Mailing Address
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Address Line | 2227 REHOBOTH ROAD EXT
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City | BOWMAN
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State | GA
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Zip | 30624-3013
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Country | US
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Telephone | 706-498-3661
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CANDICE VEAL-JONES
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Credential | EMT-I
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Telephone | 706-498-3661
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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 |
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License Number State |
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