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General NPI Number Information
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NPI Number | 1093744922
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Entity Type | Organization
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Legal Business Name | OELRICHS AMBULANCE SERVICE
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 401 RAILROAD ST OELRICHS AMBULANCE SERVICE
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City | OELRICHS
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State | SD
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Zip | 57763
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Country | US
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Telephone | 605-535-6855
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 93
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City | OELRICHS
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State | SD
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Zip | 57763-0093
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Country | US
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Telephone | 605-535-6855
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | KENNETH ALLEN OSMOTHERLT
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Credential |
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Telephone | 877-882-9911
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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 | 274
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License Number State | SD
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