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General NPI Number Information
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NPI Number | 1831570407
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Entity Type | Organization
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Legal Business Name | MORNINGSTAR EMS LLC
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3020 BUSINESS PARK DR STE D
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City | NORCROSS
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State | GA
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Zip | 30071-1451
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Country | US
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Telephone | 678-599-0418
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 BUSINESS PARK DR STE D
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City | NORCROSS
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State | GA
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Zip | 30071-1451
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Country | US
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Telephone | 678-599-0418
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALEX JAMES WILLIAMS JR.
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Credential |
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Telephone | 404-509-6711
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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 | 06082
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License Number State | GA
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