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General NPI Number Information
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NPI Number | 1093755514
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Entity Type | Organization
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Legal Business Name | KNOX COUNTY EMS INC
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 906 N 10TH ST
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City | VINCENNES
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State | IN
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Zip | 47591-3136
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Country | US
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Telephone | 812-882-7757
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Fax | 812-882-0989
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Provider Business Mailing Address
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Address Line | 906 N 10TH ST
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City | VINCENNES
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State | IN
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Zip | 47591-3136
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Country | US
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Telephone | 812-882-7757
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Fax | 812-882-0989
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. CHRISTA JANE MCCLURE
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Credential |
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Telephone | 812-882-7757
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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 | 0071
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 0071
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License Number State | IN
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