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General NPI Number Information
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NPI Number | 1073452348
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Entity Type | Organization
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Legal Business Name | MACON COUNTY AMBULANCE DISTRICT
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 1305 N RUTHERFORD ST
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City | MACON
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State | MO
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Zip | 63552-5101
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Country | US
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Telephone | 660-395-8640
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Fax | 314-317-0193
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Provider Business Mailing Address
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Address Line | PO BOX 582
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City | MACON
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State | MO
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Zip | 63552-0582
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AMBULANCE DIRECTOR
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Name | CHRIS BOGGUSS
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Credential |
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Telephone | 660-395-8640
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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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