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General NPI Number Information
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NPI Number | 1306887260
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Entity Type | Organization
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Legal Business Name | MOBILE MEDICAL RESPONSE INC
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 834 S WASHINGTON AVE
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City | SAGINAW
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State | MI
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Zip | 48601-2566
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Country | US
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Telephone | 989-758-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 4305 STATE ST
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City | SAGINAW
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State | MI
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Zip | 48603-4068
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Country | US
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Telephone | 989-758-2900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURIE THIEL
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Credential |
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Telephone | 989-907-2040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 731021
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | MI
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