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General NPI Number Information
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NPI Number | 1225183718
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Entity Type | Organization
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Legal Business Name | WHITESVILLE AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 09/02/2011
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Provider Practice Location Address
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Address Line | 700 RALEIGH STREET
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City | WHITESVILLE
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State | WV
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Zip | 25209
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Country | US
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Telephone | 304-854-1197
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 145
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City | WHITESVILLE
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State | WV
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Zip | 25209-0145
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Country | US
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Telephone | 304-854-1197
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LISA FORD
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Credential |
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Telephone | 304-854-1197
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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 | NO NUMBER
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License Number State | WV
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