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General NPI Number Information
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NPI Number | 1063574945
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Entity Type | Organization
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Legal Business Name | FARNHAMVILLE EMS
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 350 HARDIN ST
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City | FARNHAMVILLE
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State | IA
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Zip | 50538
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Country | US
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Telephone | 866-332-5335
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Fax | 866-887-2003
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Provider Business Mailing Address
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Address Line | PO BOX 245
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City | FARNHAMVILLE
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State | IA
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Zip | 50538-0245
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Country | US
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Telephone | 866-332-5335
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Fax | 866-887-2003
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | MISSY J WISE
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Credential |
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Telephone | 866-332-5335
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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 | 2130800
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License Number State | IA
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