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General NPI Number Information
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NPI Number | 1023055118
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Entity Type | Organization
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Legal Business Name | AMBULANCE SERVICES OF FORREST CITY LLC
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 1601 NEW CASTLE RD
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City | FORREST CITY
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State | AR
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Zip | 72335-2218
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Country | US
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Telephone | 870-630-9611
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Fax | 870-630-9657
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Provider Business Mailing Address
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Address Line | 1601 NEW CASTLE RD
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City | FORREST CITY
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State | AR
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Zip | 72335-2218
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Country | US
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Telephone | 870-630-9611
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, CLINIC REVENUE CYCLE
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Name | LAURA J FEY
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Credential |
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Telephone | 615-221-3641
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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 | 640
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 619
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License Number State | AR
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