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General NPI Number Information
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NPI Number | 1235208000
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Entity Type | Organization
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Legal Business Name | WOODWARD COUNTY EMERGENCY MEDICAL SERVICE
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 03/16/2012
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Provider Practice Location Address
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Address Line | 1510 DOWNS AVE
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City | WOODWARD
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State | OK
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Zip | 73801-5435
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Country | US
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Telephone | 580-254-3341
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 771
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City | WOODWARD
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State | OK
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Zip | 73802-0771
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Country | US
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Telephone | 580-254-3341
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VANESSA BREWINGTON
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Credential |
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Telephone | 580-254-3341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 119
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License Number State | OK
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