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General NPI Number Information
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NPI Number | 1891267084
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Entity Type | Organization
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Legal Business Name | BALDWIN EMERGENCY MEDICAL SERVICES
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 12/28/2018
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Provider Practice Location Address
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Address Line | 1902 HAND AVE
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City | BAY MINETTE
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State | AL
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Zip | 36507-4113
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Country | US
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Telephone | 251-421-7831
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 848
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City | BAY MINETTE
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State | AL
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Zip | 36507-0848
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Country | US
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Telephone | 251-421-7831
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Fax |
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Authorized Official
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Title or Position | OWNER/PARAMEDIC
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Name | MR. CHARLES WAYNE GANEY JR.
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Credential |
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Telephone | 251-421-7831
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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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