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General NPI Number Information
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NPI Number | 1194918193
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Entity Type | Organization
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Legal Business Name | RANKIN VOLUNTEER AMBULANCE SERVICE
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 08/16/2011
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Provider Practice Location Address
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Address Line | 904 N. MAIN STREET
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City | RANKIN
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State | TX
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Zip | 79778
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Country | US
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Telephone | 432-693-6281
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Fax | 432-693-2471
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Provider Business Mailing Address
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Address Line | PO BOX 323
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City | RANKIN
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State | TX
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Zip | 79778
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Country | US
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Telephone | 432-693-6281
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Fax | 432-693-2471
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PAULA L HILL
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Credential | EMT-B
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Telephone | 432-693-2570
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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 | 231005
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License Number State | TX
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