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General NPI Number Information
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NPI Number | 1962513671
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Entity Type | Organization
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Legal Business Name | NGMT,INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 1742 CANDLER RD
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City | GAINESVILLE
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State | GA
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Zip | 30507-8427
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Country | US
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Telephone | 770-536-9625
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Fax | 770-536-9628
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Provider Business Mailing Address
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Address Line | PO BOX 2795
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City | GAINESVILLE
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State | GA
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Zip | 30503-2795
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Country | US
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Telephone | 770-536-9625
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Fax | 770-536-9628
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Authorized Official
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Title or Position | DIRECTOR
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Name | SPENCER P WALKER
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Credential |
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Telephone | 706-968-3057
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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 | 069 -16
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License Number State | GA
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