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General NPI Number Information
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NPI Number | 1871589937
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Entity Type | Organization
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Legal Business Name | MID-MARYLAND MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 930 ELDRIDGE DR
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6859
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Country | US
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Telephone | 301-733-6655
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Fax | 301-733-4229
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Provider Business Mailing Address
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Address Line | PO BOX 1910
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City | WINCHESTER
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State | VA
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Zip | 22604-8060
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Country | US
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Telephone | 866-553-4220
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Fax | 540-536-4359
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. M FRANK HEISEY
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Credential |
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Telephone | 540-536-5260
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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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