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General NPI Number Information
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NPI Number | 1063415685
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Entity Type | Organization
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Legal Business Name | LAPEL STONY CREEK TOWNSHIP AMBULANCE SERVICE
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 720 S FORD ST
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City | LAPEL
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State | IN
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Zip | 46051-0999
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Country | US
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Telephone | 765-534-3157
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Fax | 765-534-3158
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Provider Business Mailing Address
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Address Line | 720 S FORD STREET PO BOX 999
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City | LAPEL
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State | IN
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Zip | 46051-0999
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Country | US
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Telephone | 765-534-3157
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Fax | 765-534-3158
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Authorized Official
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Title or Position | BILLING CLERK
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Name | MRS. PAULA R LEE
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Credential |
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Telephone | 765-534-3157
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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 | 0049
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License Number State | IN
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