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General NPI Number Information
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NPI Number | 1225067390
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Entity Type | Organization
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Legal Business Name | WINDSOR AMBULANCE DISTRICT
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 313 NORTH WINDSOR
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City | WINDSOR
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State | MO
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Zip | 65360
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Country | US
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Telephone | 660-647-2859
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 291
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City | WINDSOR
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State | MO
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Zip | 65360-0291
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RONALD ARNOLD
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Credential |
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Telephone | 660-647-2859
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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 | 083020
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License Number State | MO
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