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General NPI Number Information
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NPI Number | 1952537284
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Entity Type | Organization
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Legal Business Name | NORTHSTAR EMS INC.
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 06/01/2009
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Provider Practice Location Address
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Address Line | 2106 17TH AVE
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City | TUSCALOOSA
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State | AL
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Zip | 35401-5770
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Country | US
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Telephone | 205-345-0911
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2788
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City | TUSCALOOSA
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State | AL
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Zip | 35403-2788
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Country | US
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Telephone | 205-345-0911
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JON A SMELLEY
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Credential |
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Telephone | 205-345-0911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | C3697
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License Number State | AL
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