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General NPI Number Information
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NPI Number | 1235173089
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Entity Type | Organization
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Legal Business Name | KIRK'S EMERGENCY MEDICAL SERVICE INC
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 1616 SW F AVE
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City | LAWTON
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State | OK
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Zip | 73501-4755
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Country | US
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Telephone | 580-355-6500
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Fax | 580-355-6532
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Provider Business Mailing Address
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Address Line | 1616 SW F AVE
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City | LAWTON
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State | OK
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Zip | 73501-4755
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Country | US
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Telephone | 580-355-6500
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Fax | 580-355-6532
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JACKIE MCDONALD
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Credential |
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Telephone | 580-355-6500
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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 | EMS003
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License Number State | OK
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