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General NPI Number Information
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NPI Number | 1215020441
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Entity Type | Organization
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Legal Business Name | PATRIOT AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 4225 MILLER ROAD #233
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City | FLINT
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State | MI
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Zip | 48507
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Country | US
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Telephone | 810-742-5391
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Fax | 810-742-5366
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Provider Business Mailing Address
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Address Line | 4225 MILLER ROAD #233
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City | FLINT
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State | MI
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Zip | 48507
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Country | US
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Telephone | 810-742-5391
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Fax | 810-742-5366
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFF YORKE
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Credential |
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Telephone | 810-742-5391
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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 | 251040
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License Number State | MI
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