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General NPI Number Information
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NPI Number | 1912872995
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Entity Type | Organization
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Legal Business Name | ALLIANCE EMS
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 190 SASSAFRAS RD
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City | MOORESVILLE
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State | NC
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Zip | 28115-0019
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Country | US
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Telephone | 980-833-4531
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Fax |
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Provider Business Mailing Address
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Address Line | 190 SASSAFRAS RD
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City | MOORESVILLE
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State | NC
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Zip | 28115-0019
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Country | US
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Telephone | 980-833-4531
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JEREMY MULDROW, MULDROW
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Credential | PH.D., EMT-B, CPRI
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Telephone | 980-833-4531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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