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General NPI Number Information
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NPI Number | 1922193218
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Entity Type | Organization
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Legal Business Name | FRANKLIN AMBULANCE SERVICE
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 46 BUNKLEY ROAD SW MAIN STREET
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City | MEADVILLE
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State | MS
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Zip | 39653
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Country | US
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Telephone | 601-384-2040
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Fax | 601-384-2040
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Provider Business Mailing Address
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Address Line | PO BOX 475
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City | MEADVILLE
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State | MS
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Zip | 39653
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Country | US
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Telephone | 601-384-2040
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Fax | 601-384-2040
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Authorized Official
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Title or Position | OWNER
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Name | MR. HAROLD LEROY WENTWORTH SR.
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Credential |
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Telephone | 601-384-2040
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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 | 036-BASIC LIFE
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License Number State | MS
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