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General NPI Number Information
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NPI Number | 1851321160
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Entity Type | Organization
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Legal Business Name | PRIMECARE MEDICAL TRANSPORT, LLC.
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 568 MILFORD HARRINGTON HWY
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City | MILFORD
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State | DE
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Zip | 19963-5306
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Country | US
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Telephone | 302-422-0900
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Fax | 302-422-1082
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Provider Business Mailing Address
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Address Line | 568 MILFORD HARRINGTON HWY P.O. BOX 839
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City | MILFORD
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State | DE
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Zip | 19963-5306
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Country | US
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Telephone | 302-422-0900
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Fax | 302-422-1082
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Authorized Official
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Title or Position | CFO
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Name | MRS. KAREN R. FRY
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Credential |
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Telephone | 302-422-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 1997113238
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1997113238
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License Number State | DE
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