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General NPI Number Information
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NPI Number | 1932246006
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Entity Type | Organization
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Legal Business Name | BOILING SPRINGS LIFE SAVING & RESCUE UNIT, INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 650 MCBRAYER HOMESTEAD RD
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City | SHELBY
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State | NC
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Zip | 28152
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Country | US
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Telephone | 704-692-9540
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Fax | 704-434-9456
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Provider Business Mailing Address
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Address Line | 650 MCBRAYER HOMESTEAD RD
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City | SHELBY
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State | NC
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Zip | 28152
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Country | US
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Telephone | 704-692-9540
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Fax | 704-434-9456
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. DAVID WAYNE BLANTON
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Credential |
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Telephone | 704-692-9540
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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 | 1053
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License Number State | NC
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