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General NPI Number Information
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NPI Number | 1952022089
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Entity Type | Organization
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Legal Business Name | SMS AMBULANCE SERVICE, LLC
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 9201 STATE HWY 302
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City | MENTONE
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State | TX
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Zip | 79754
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Country | US
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Telephone | 337-521-3576
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Fax |
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Provider Business Mailing Address
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Address Line | 2916 N UNIVERSITY AVE
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City | LAFAYETTE
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State | LA
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Zip | 70507-4039
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Country | US
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Telephone | 337-521-3576
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Fax | 337-706-1899
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | KATHERINE ROY
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Credential |
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Telephone | 337-521-3576
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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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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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