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General NPI Number Information
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NPI Number | 1174543771
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Entity Type | Organization
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Legal Business Name | CLEVELAND COUNTY AMBULANCE SERVICE
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 601 SYCAMORE
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City | RISON
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State | AR
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Zip | 71665
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Country | US
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Telephone | 870-325-6700
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Fax | 870-325-6700
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Provider Business Mailing Address
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Address Line | PO BOX 562
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City | RISON
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State | AR
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Zip | 71665-0562
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Country | US
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Telephone | 870-325-6700
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Fax | 870-325-7750
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MS. NANCY E. BRIGGS
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Credential | PARAMEDIC
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Telephone | 870-325-6700
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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 | 490
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License Number State | AR
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