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General NPI Number Information
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NPI Number | 1073143475
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Entity Type | Organization
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Legal Business Name | ARROW AMBULANCE, LLC
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 800 E LOCUST ST
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City | OLNEY
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State | IL
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Zip | 62450-2553
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Country | US
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Telephone | 618-395-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 210 E UNIVERSITY AVE
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City | CHAMPAIGN
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State | IL
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Zip | 61820-3845
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Country | US
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Telephone | 888-411-4558
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Fax |
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Authorized Official
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Title or Position | COO
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Name | LYNNE CORD BARNES
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Credential |
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Telephone | 888-411-4558
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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 |
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License Number State |
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