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General NPI Number Information
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NPI Number | 1013996610
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Entity Type | Organization
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Legal Business Name | MANSFIELD AMBULANCE INC
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 105 5TH ST SE STE 3
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City | BARBERTON
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State | OH
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Zip | 44203-4257
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Country | US
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Telephone | 330-837-9806
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Fax |
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Provider Business Mailing Address
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Address Line | 105 5TH ST SE STE 3
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City | BARBERTON
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State | OH
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Zip | 44203-4257
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Country | US
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Telephone | 330-837-9806
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. SCOTT MCGURK
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Credential |
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Telephone | 330-236-2211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 700062
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License Number State | OH
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