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General NPI Number Information
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NPI Number | 1053028936
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Entity Type | Organization
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Legal Business Name | EAGLE AMBULANCE SERVICES & TRANSPORT
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 5498 MT HIGHWAY 1
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City | HALL
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State | MT
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Zip | 59837-9707
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Country | US
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Telephone | 140-654-4730
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 262
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City | HALL
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State | MT
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Zip | 59837-0262
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Country | US
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Telephone | 406-202-1217
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHERINE REED
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Credential |
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Telephone | 406-202-1217
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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 |
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License Number State |
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