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General NPI Number Information
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NPI Number | 1952929523
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Entity Type | Organization
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Legal Business Name | HOPE MEDICAL TRANSPORT SERVICES
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 101 PARK 42 DR STE F
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City | LOCUST GROVE
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State | GA
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Zip | 30248-2559
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Country | US
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Telephone | 678-759-2915
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Fax |
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Provider Business Mailing Address
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Address Line | 270 ESKEW RD
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City | MCDONOUGH
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State | GA
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Zip | 30252-5605
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Country | US
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Telephone | 404-787-0157
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | TARA WILSON
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Credential |
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Telephone | 404-787-0157
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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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