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General NPI Number Information
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NPI Number | 1013952795
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Entity Type | Organization
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Legal Business Name | GRAND LEDGE AREA EMERGENCY SERVICES
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 500 N CLINTON ST
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City | GRAND LEDGE
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State | MI
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Zip | 48837-1620
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Country | US
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Telephone | 517-627-1157
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Fax | 517-627-0417
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Provider Business Mailing Address
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Address Line | 2869 JOLLY RD SUITE B
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City | OKEMOS
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State | MI
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Zip | 48864-3670
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Country | US
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Telephone | 517-908-3980
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Fax | 517-908-3981
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | KURT HINDS
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Credential |
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Telephone | 517-627-1157
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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 | 231021
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License Number State | MI
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