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General NPI Number Information
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NPI Number | 1013363258
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Entity Type | Organization
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Legal Business Name | FLORENCE RESCUE SQUAD LTD
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 05/06/2016
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Provider Practice Location Address
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Address Line | 747 LAKE AVE
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City | FLORENCE
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State | WI
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Zip | 54121
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Country | US
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Telephone | 715-528-3030
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 278
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City | FLORENCE
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State | WI
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Zip | 54121-0278
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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 | RICHARD KNEPPER
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Credential |
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Telephone | 715-528-3030
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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 |
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License Number State |
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