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General NPI Number Information
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NPI Number | 1992247688
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Entity Type | Organization
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Legal Business Name | A -PLUS AMBULANCE LLC
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Dates
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Enumeration Date | 11/10/2016
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 100 PINNACLE WAY STE 165
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City | NORCROSS
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State | GA
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Zip | 30071-4906
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Country | US
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Telephone | 770-568-8763
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2899
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City | LILBURN
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State | GA
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Zip | 30048-2899
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Country | US
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Telephone | 770-907-0405
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Fax | 770-907-0407
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MAHMOUD JAMAL
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Credential | D.O.
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Telephone | 770-568-8763
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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 | AMB2016018
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License Number State | GA
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