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General NPI Number Information
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NPI Number | 1942809876
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Entity Type | Organization
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Legal Business Name | CEMS PARAMEDIC RESCUE CORPORATION
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 524 N 7TH ST
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-3233
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Country | US
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Telephone | 901-301-5650
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Fax | 870-733-1168
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Provider Business Mailing Address
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Address Line | 524 N 7TH ST
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-3233
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Country | US
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Telephone | 901-301-5650
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Fax | 870-733-1168
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. KENT HUDSON HALLUM II
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Credential | PARAMEDIC
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Telephone | 901-301-5650
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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 |
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License Number State |
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