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General NPI Number Information
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NPI Number | 1942583356
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Entity Type | Organization
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Legal Business Name | CARE PLUS EMERGENCY MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 2183 NORTHLAKE PKWY SUITE 102
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City | TUCKER
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State | GA
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Zip | 30084-4108
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Country | US
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Telephone | 770-939-2299
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 841
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City | SNELLVILLE
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State | GA
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Zip | 30078-0841
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Country | US
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Telephone | 770-939-2299
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Fax |
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | DAN K DELAGE
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Credential | EMTP
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Telephone | 770-939-2299
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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 | 044-29
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License Number State | GA
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