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General NPI Number Information
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NPI Number | 1962273532
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Entity Type | Organization
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Legal Business Name | AZALEA MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 83 N JACKSON ST
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City | WINDER
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State | GA
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Zip | 30680-2146
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Country | US
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Telephone | 800-249-0544
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Fax | 724-234-2796
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Provider Business Mailing Address
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Address Line | PO BOX 18537
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City | PLEASANT HILLS
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State | PA
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Zip | 15236-0537
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Country | US
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Telephone | 800-249-0544
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Fax | 724-234-2796
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK MICHAEL MCGANN
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Credential | MD
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Telephone | 614-256-9732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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