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General NPI Number Information
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NPI Number | 1225369069
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Entity Type | Organization
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Legal Business Name | TRI STATE AMBULANCE INC
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | 7100 WHIPPLE AVE NW STE C
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City | NORTH CANTON
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State | OH
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Zip | 44720-7167
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Country | US
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Telephone | 330-478-4111
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Fax | 330-232-9917
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Provider Business Mailing Address
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Address Line | 2511 WAYNESBURG DR SE
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City | CANTON
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State | OH
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Zip | 44707-2063
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Country | US
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Telephone | 330-484-8894
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Fax | 330-232-9917
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Authorized Official
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Title or Position | OWNER
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Name | MR. KENNETH J JOSEPH
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Credential |
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Telephone | 330-484-8894
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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 |
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License Number State |
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