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General NPI Number Information
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NPI Number | 1295970689
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Entity Type | Organization
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Legal Business Name | ALLAMAKEE EMS ASSOCIATION
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Dates
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Enumeration Date | 12/13/2008
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Last Update Date | 12/13/2008
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Provider Practice Location Address
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Address Line | 40 1ST ST SE
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City | WAUKON
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State | IA
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Zip | 52172-2022
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Country | US
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Telephone | 563-568-3411
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Fax | 563-568-6139
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Provider Business Mailing Address
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Address Line | 40 1ST ST SE
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City | WAUKON
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State | IA
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Zip | 52172-2022
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Country | US
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Telephone | 563-568-3411
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Fax | 563-568-6139
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Authorized Official
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Title or Position | EMS COORDINATOR
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Name | JEFFREY R MITCHELL
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Credential | EMT-P
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Telephone | 563-568-3411
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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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