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General NPI Number Information
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NPI Number | 1144333998
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Entity Type | Organization
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Legal Business Name | BI-COUNTY AMBULANCE
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 12/18/2008
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Provider Practice Location Address
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Address Line | 1503 6TH ST SE
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City | DYERSVILLE
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State | IA
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Zip | 52040
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Country | US
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Telephone | 563-875-8628
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Fax | 563-875-8628
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Provider Business Mailing Address
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Address Line | PO BOX 27 1503 6TH ST SE
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City | DYERSVILLE
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State | IA
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Zip | 52040
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Country | US
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Telephone | 563-875-8628
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Fax | 563-875-8628
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JUDY R BOGE
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Credential | EMT
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Telephone | 563-875-8628
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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 | 2310400
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License Number State | IA
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