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General NPI Number Information
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NPI Number | 1285734236
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Entity Type | Organization
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Legal Business Name | COUNTY OF CLARK
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 913 HIGHLAND STREET
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City | ASHLAND
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State | KS
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Zip | 67831-0886
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Country | US
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Telephone | 620-635-2832
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Fax | 620-635-2992
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Provider Business Mailing Address
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Address Line | PO BOX 886 913 HIGHLAND
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City | ASHLAND
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State | KS
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Zip | 67831-0886
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Country | US
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Telephone | 620-635-2832
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Fax | 620-635-2992
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. RAMONA J MYERS
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Credential |
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Telephone | 620-635-2832
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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 | 340
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License Number State | KS
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