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NPI 1851974208

NPI 1851974208 : INTEGRITY EMS LLC : MADISON, TN

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General NPI Number Information
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    NPI Number           |    1851974208
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTEGRITY EMS LLC 
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Dates
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    Enumeration Date     |    05/04/2021
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    Last Update Date     |    05/21/2021
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Provider Practice Location Address
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    Address Line         |    607 W DUE WEST AVE STE 107 
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    City                 |    MADISON
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    State                |    TN
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    Zip                  |    37115-4420
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    Country              |    US
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    Telephone            |    615-249-4367
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    Fax                  |    615-392-3420
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Provider Business Mailing Address
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    Address Line         |    607 W DUE WEST AVE STE 107 
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    City                 |    MADISON
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    State                |    TN
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    Zip                  |    37115-4420
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    Country              |    US
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    Telephone            |    615-249-4367
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    Fax                  |    615-392-3420
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Authorized Official
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    Title or Position    |    OWNER/CEO
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    Name                 |    MR. WILLIAM  KELLEHER 
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    Credential           |    
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    Telephone            |    615-249-4367
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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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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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