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General NPI Number Information
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NPI Number | 1245637974
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Entity Type | Organization
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Legal Business Name | CENTRAL AMBULANCE & MEDICAL SERVICES INC
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 203 N CLIFTON ST
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City | FORDYCE
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State | AR
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Zip | 71742-3026
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Country | US
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Telephone | 870-352-0348
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Fax | 870-352-0347
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Provider Business Mailing Address
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Address Line | PO BOX 258
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City | FORDYCE
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State | AR
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Zip | 71742-0258
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Country | US
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Telephone | 870-352-0348
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Fax | 870-352-0347
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Authorized Official
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Title or Position | OWNER
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Name | MRS. REBECCA LYNN LUSCOMB
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Credential | PARAMEDIC
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Telephone | 870-904-0772
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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 | 501
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License Number State | AR
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