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General NPI Number Information
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NPI Number | 1144234576
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Entity Type | Organization
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Legal Business Name | WARREN AREA AMBULANCE SERVICE
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 103 W MAIN ST
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City | WARREN
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State | IL
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Zip | 61087
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Country | US
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Telephone | 815-745-2841
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Fax | 815-745-2841
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Provider Business Mailing Address
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Address Line | 103 W MAIN ST, PO BOX 416
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City | WARREN
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State | IL
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Zip | 61087
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Country | US
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Telephone | 815-745-2841
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Fax | 815-745-2841
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | MR. ROGER KENT
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Credential |
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Telephone | 815-291-0007
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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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