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General NPI Number Information
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NPI Number | 1962768440
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Entity Type | Organization
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Legal Business Name | MEDTRUST MEDICAL TRANSPORT, LLC
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 1014 BANKTON CIR STE 100
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City | HANAHAN
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State | SC
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Zip | 29410-2931
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Country | US
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Telephone | 843-284-6331
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 BANKTON CIR STE 100
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City | HANAHAN
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State | SC
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Zip | 29410-2931
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Country | US
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Telephone | 843-284-6331
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Fax | 843-633-1329
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | MICHELLE BOYD
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Credential |
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Telephone | 843-284-6331
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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 | 306
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License Number State | SC
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Taxonomy #2
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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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