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General NPI Number Information
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NPI Number | 1902153554
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Entity Type | Organization
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Legal Business Name | 1ST RESPONSE AMBULANCE SERVICE
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 4600 THOMAS JEFFERSON HIGHWAY
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City | CULLEN
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State | VA
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Zip | 23934
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Country | US
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Telephone | 434-547-9814
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 THOMAS JEFFERSON HIGHWAY
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City | CULLEN
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State | VA
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Zip | 23934
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Country | US
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Telephone | 434-547-9814
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. ROBERT E DIXON II
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Credential |
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Telephone | 434-547-9814
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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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