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General NPI Number Information
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NPI Number | 1265591598
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Entity Type | Organization
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Legal Business Name | KIMBALL AMBULANCE DISTRICT
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 120 W 2ND ST
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City | KIMBALL
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State | SD
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Zip | 57355
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Country | US
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Telephone | 605-778-6400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 476
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City | KIMBALL
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State | SD
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Zip | 57355-0476
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Country | US
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Telephone | 605-778-6400
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Fax |
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Authorized Official
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Title or Position | BILLING REP
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Name | JANET M REUER
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Credential |
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Telephone | 605-778-6400
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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 | 13201
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License Number State | SD
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