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General NPI Number Information
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NPI Number | 1841763984
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Entity Type | Organization
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Legal Business Name | KINDRED CARE EMS LLC
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 05/21/2019
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Provider Practice Location Address
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Address Line | 6824 NORWOOD AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32208-4471
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Country | US
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Telephone | 904-651-7533
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Fax |
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Provider Business Mailing Address
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Address Line | 1736 SILVER ST
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City | JACKSONVILLE
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State | FL
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Zip | 32206-4448
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARSHIRAY GRIFFIN
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Credential |
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Telephone | 904-651-6533
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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 |
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License Number State |
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