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General NPI Number Information
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NPI Number | 1013009331
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Entity Type | Organization
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Legal Business Name | MARION COUNTY AMBULANCE
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 3120 HIGHWAY 61
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City | HANNIBAL
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State | MO
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Zip | 63401-6571
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Country | US
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Telephone | 573-221-2117
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Fax | 573-221-5004
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Provider Business Mailing Address
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Address Line | 142 JAYCEE DRIVE
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City | HANNIBAL
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State | MO
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Zip | 63401-3673
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Country | US
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Telephone | 573-221-2117
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Fax | 573-221-5004
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOHN NEMES
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Credential |
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Telephone | 573-221-5510
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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 | 127001
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License Number State | MO
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