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General NPI Number Information
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NPI Number | 1245200419
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Entity Type | Organization
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Legal Business Name | MERCY AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 468 HURON AVE
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City | LOUISVILLE
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State | KY
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Zip | 40209-1626
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Country | US
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Telephone | 502-368-6551
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Fax | 502-368-8500
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Provider Business Mailing Address
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Address Line | 468 HURON AVE
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City | LOUISVILLE
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State | KY
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Zip | 40209-1626
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Country | US
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Telephone | 502-368-6551
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Fax | 502-368-8500
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. CHRISTY LEE CHRISTIAN
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Credential | BSBA
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Telephone | 502-368-6551
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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 | 1109
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License Number State | KY
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