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General NPI Number Information
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NPI Number | 1023397676
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Entity Type | Organization
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Legal Business Name | MID COUNTY JOINT AMBULANCE DISTRICT
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Dates
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Enumeration Date | 08/15/2011
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 222 W WASHINGTON ST
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City | OAK HARBOR
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State | OH
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Zip | 43449-1148
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Country | US
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Telephone | 419-898-9366
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 637483
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City | CINCINNATI
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State | OH
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Zip | 45263-7483
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Country | US
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Telephone | 855-626-9660
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Fax | 833-953-0588
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Authorized Official
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Title or Position | CHIEF
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Name | KENAN M. MYLANDER
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Credential |
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Telephone | 419-898-9366
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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 | 02-0319750
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License Number State | OH
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