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General NPI Number Information
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NPI Number | 1194510057
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Entity Type | Organization
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Legal Business Name | ADENA HEALTH EMS LLC
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 272 HOSPITAL RD
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-9031
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Country | US
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Telephone | 740-779-4481
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Fax | 740-779-7934
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Provider Business Mailing Address
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Address Line | 272 HOSPITAL RD
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-9031
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Country | US
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Telephone | 740-779-4481
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Fax | 740-779-7934
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Authorized Official
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Title or Position | VICE PRESIDENT FOR SYSTEM FINANCE
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Name | MR. JEFFREY G CRAFT
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Credential |
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Telephone | 740-779-4481
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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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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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