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General NPI Number Information
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NPI Number | 1912675232
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Entity Type | Organization
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Legal Business Name | REGIONAL MEDICAL TRANSPORT, LLC
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 71 1/2 N MAIN ST
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City | WEST ALEXANDRIA
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State | OH
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Zip | 45381-1153
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Country | US
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Telephone | 937-839-7110
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Fax | 937-839-7024
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Provider Business Mailing Address
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Address Line | 71 1/2 N MAIN ST
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City | WEST ALEXANDRIA
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State | OH
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Zip | 45381-1153
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Country | US
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Telephone | 937-839-7110
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Fax | 937-839-7024
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Authorized Official
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Title or Position | OWNER
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Name | WENDELL E MACKIE
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Credential |
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Telephone | 937-533-8854
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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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