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General NPI Number Information
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NPI Number | 1831845700
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Entity Type | Organization
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Legal Business Name | ALABAMA SPECIALTY CARE TRANSPORT LLC
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 13414 AL HIGHWAY 157 STE B
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City | MOULTON
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State | AL
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Zip | 35650-3704
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Country | US
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Telephone | 256-341-7676
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Fax | 855-326-1353
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Provider Business Mailing Address
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Address Line | PO BOX 772
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City | MOULTON
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State | AL
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Zip | 35650-0772
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Country | US
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Telephone | 256-341-7676
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Fax | 855-326-1353
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Authorized Official
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Title or Position | PARTNER
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Name | MR. BRETT KELLEY
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Credential | NRP
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Telephone | 256-566-5004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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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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Taxonomy #3
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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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