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General NPI Number Information
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NPI Number | 1245333244
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Entity Type | Organization
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Legal Business Name | CALDWELL COUNTY AMBULANCE DISTRICT
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 12/17/2012
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Provider Practice Location Address
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Address Line | 480 S WASHINGTON ST
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City | KINGSTON
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State | MO
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Zip | 64650-9121
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Country | US
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Telephone | 816-586-3801
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Fax | 816-586-4206
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Provider Business Mailing Address
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Address Line | 480 S WASHINGTON ST
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City | KINGSTON
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State | MO
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Zip | 64650-9121
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Country | US
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Telephone | 816-586-3801
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Fax | 816-586-4206
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JEFF STILL
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Credential |
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Telephone | 816-586-3801
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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 | 025003
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License Number State | MO
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