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General NPI Number Information
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NPI Number | 1891056933
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Entity Type | Organization
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Legal Business Name | SAINT MATTHEWS AMBULANCE SERVICE OF THE MIDLANDS, LLC
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 454 CROMER RD
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City | LEXINGTON
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State | SC
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Zip | 29073-9488
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Country | US
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Telephone | 803-445-2600
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Fax | 803-445-2300
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Provider Business Mailing Address
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Address Line | 454 CROMER RD
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City | LEXINGTON
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State | SC
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Zip | 29073-9488
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Country | US
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Telephone | 803-445-2600
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Fax | 803-445-2300
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Authorized Official
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Title or Position | ASST DIRECTOR
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Name | KIMBERLY A MELTON
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Credential |
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Telephone | 803-445-2600
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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 | 334
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License Number State | SC
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