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General NPI Number Information
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NPI Number | 1124060884
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Entity Type | Organization
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Legal Business Name | NEW TOWN AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 MAIN ST
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City | NEW TOWN
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State | ND
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Zip | 58763-4001
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Country | US
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Telephone | 701-627-2992
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Fax | 701-627-2993
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Provider Business Mailing Address
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Address Line | 300 MAIN ST
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City | NEW TOWN
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State | ND
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Zip | 58763-4001
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Country | US
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Telephone | 701-627-2992
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Fax | 701-627-2993
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. LORI ANN WOLFF
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Credential | PARAMEDIC
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Telephone | 701-627-2992
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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 | 97
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License Number State | ND
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