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General NPI Number Information
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NPI Number | 1164459053
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Entity Type | Organization
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Legal Business Name | M-F-L AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 108 S PAGE ST
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City | MONONA
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State | IA
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Zip | 52159-0065
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Country | US
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Telephone | 563-539-2963
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Fax |
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Provider Business Mailing Address
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Address Line | 108 NORTH PAGE STREET
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City | MONONA
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State | IA
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Zip | 52159-0065
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Country | US
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Telephone | 641-330-4584
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DUANE C MILLARD
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Credential |
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Telephone | 563-928-6975
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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 | 2221000
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License Number State | IA
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