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General NPI Number Information
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NPI Number | 1063423473
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Entity Type | Organization
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Legal Business Name | TWIN TOWNSHIP AMBULANCE, INC.
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 7900 SAGINAW ST
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City | NEW LOTHROP
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State | MI
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Zip | 48460-9688
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Country | US
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Telephone | 810-638-5034
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Fax |
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Provider Business Mailing Address
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Address Line | 7900 SAGINAW ST P.O. BOX 303
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City | NEW LOTHROP
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State | MI
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Zip | 48460
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Country | US
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Telephone | 810-634-1001
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Fax | 810-638-7424
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | JACQUELINE J HENIGE
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Credential |
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Telephone | 810-634-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 781007
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License Number State | MI
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