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General NPI Number Information
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NPI Number | 1134123540
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Entity Type | Organization
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Legal Business Name | ALLEN PARISH AMBULANCE SERVICE
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 215 N 9TH ST
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City | KINDER
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State | LA
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Zip | 70648-3632
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Country | US
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Telephone | 337-738-2674
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Fax | 337-738-3027
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Provider Business Mailing Address
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Address Line | PO BOX 1319
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City | KINDER
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State | LA
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Zip | 70648-1319
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Country | US
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Telephone | 337-738-2674
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Fax | 337-738-3027
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MARK DAMIAN LYONS
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Credential |
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Telephone | 337-738-2674
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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 | 9110004
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License Number State | LA
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