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General NPI Number Information
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NPI Number | 1902120397
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Entity Type | Organization
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Legal Business Name | THORNE AMBULANCE SERVICE LLC
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 301 HALTON RD STE G
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City | GREENVILLE
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State | SC
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Zip | 29607-3498
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Country | US
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Telephone | 864-559-8077
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Fax | 864-900-0229
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Provider Business Mailing Address
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Address Line | 128 BATHURST LN
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-4684
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Country | US
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Telephone | 864-382-9659
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | RYAN THORNE
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Credential |
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Telephone | 864-382-9659
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 268
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License Number State | SC
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