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General NPI Number Information
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NPI Number | 1306899794
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Entity Type | Organization
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Legal Business Name | GREENWOOD AREA AMBULANCE SERV
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 11/23/2012
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Provider Practice Location Address
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Address Line | 103 CANNERY ST
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City | GREENWOOD
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State | WI
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Zip | 54437-9705
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Country | US
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Telephone | 715-267-7390
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Fax |
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Provider Business Mailing Address
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Address Line | 308 W SCHOFIELD AVE
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City | GREENWOOD
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State | WI
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Zip | 54437-9473
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DIANE ZAGOZEN
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Credential |
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Telephone | 715-267-7390
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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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