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General NPI Number Information
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NPI Number | 1295959617
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Entity Type | Organization
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Legal Business Name | TRI-TOWNSHIP AMBULANCE AUTHORITY
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | W2308 HWY M69
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City | FOSTER CITY
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State | MI
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Zip | 49834-0000
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Country | US
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Telephone | 906-246-3832
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Fax | 906-246-3832
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Provider Business Mailing Address
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Address Line | W2308 HWY M 69
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City | FOSTER CITY
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State | MI
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Zip | 49834-0000
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Country | US
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Telephone | 906-246-3832
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Fax | 906-246-3832
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Authorized Official
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Title or Position | TRI-TOWNSHIP AMBULANCE AUTHORITY BO
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Name | MR. ROBERT A MATTSON
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Credential |
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Telephone | 906-280-6402
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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 | 221001
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License Number State | MI
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