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General NPI Number Information
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NPI Number | 1316012032
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Entity Type | Organization
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Legal Business Name | CHOCTAW COUNTY EMERGENCY MEDICAL SERVICES INC.
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 816 W PUSHMATAHA ST
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City | BUTLER
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State | AL
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Zip | 36904-2440
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Country | US
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Telephone | 205-459-5512
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Fax | 205-459-5513
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Provider Business Mailing Address
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Address Line | 816 W PUSHMATAHA ST P.O. BOX 287
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City | BUTLER
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State | AL
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Zip | 36904-2440
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Country | US
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Telephone | 205-459-5512
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Fax | 205-459-5513
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. GERALDINE CURTIS
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Credential | EMT-P
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Telephone | 205-459-5512
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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 | 161
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License Number State | AL
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