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General NPI Number Information
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NPI Number | 1871593558
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Entity Type | Organization
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Legal Business Name | GREENBRIER COUNTY EMERGENCY AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 257 THIRD STREET
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City | LEWISBURG
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State | WV
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Zip | 24901-9461
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Country | US
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Telephone | 304-645-2252
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Fax | 304-646-3215
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Provider Business Mailing Address
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Address Line | 257 THIRD STREET
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City | LEWISBURG
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State | WV
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Zip | 24901-9461
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Country | US
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Telephone | 304-645-2252
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Fax | 304-646-3215
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHRISTOPHER RAMSEY
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Credential |
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Telephone | 304-645-2252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 31311
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License Number State | WV
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