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General NPI Number Information
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NPI Number | 1972263069
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Entity Type | Organization
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Legal Business Name | GUARDIAN MEDICAL SERVICES
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Dates
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Enumeration Date | 12/30/2021
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 3558 CATLETT RD
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City | CATLETT
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State | VA
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Zip | 20119-2003
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Country | US
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Telephone | 540-705-1180
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Fax | 540-705-1180
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Provider Business Mailing Address
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Address Line | PO BOX 2458
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City | EUREKA
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State | MT
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Zip | 59917-2458
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY BRENDON SCHILLING
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Credential |
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Telephone | 540-705-1180
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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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