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General NPI Number Information
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NPI Number | 1295790509
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Entity Type | Organization
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Legal Business Name | ABLE AMBULANCE, INC
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 02/22/2016
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Provider Practice Location Address
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Address Line | 700 E 3RD ST
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City | MARION
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State | IN
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Zip | 46952
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Country | US
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Telephone | 765-664-9011
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Fax | 765-668-0378
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Provider Business Mailing Address
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Address Line | PO BOX 386
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City | MARION
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State | IN
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Zip | 46952-0386
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Country | US
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Telephone | 765-664-9011
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Fax | 765-668-0378
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Authorized Official
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Title or Position | ADMINISTRATIVE SUPERVISOR
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Name | DENNIS HUSTON
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Credential |
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Telephone | 765-664-9011
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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 |
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License Number State |
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