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General NPI Number Information
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NPI Number | 1013912781
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Entity Type | Organization
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Legal Business Name | HAPPY CAMP VOLUNTEER AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 38 PARK WAY
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City | HAPPY CAMP
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State | CA
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Zip | 96039
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Country | US
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Telephone | 530-493-2643
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 596
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City | HAPPY CAMP
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State | CA
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Zip | 96039-0596
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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 | EMS MANAGER
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Name | KIRK ANDREW EADIE
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Credential |
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Telephone | 530-493-2643
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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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